Nucleic acids and corresponding proteins entitled 254P1D6B useful in treatment and detection of cancer

ABSTRACT

A novel gene 254P1D6B and its encoded protein, and variants thereof, are described wherein 254P1D6B exhibits tissue specific expression in normal adult tissue, and is aberrantly expressed in the cancers listed in Table I. Consequently, 254P1D6B provides a diagnostic, prognostic, prophylactic and/or therapeutic target for cancer. The 254P1D6B gene or fragment thereof, or its encoded protein, or variants thereof, or a fragment thereof, can be used to elicit a humoral or cellular immune response; antibodies or T cells reactive with 254P1D6B can be used in active or passive immunization.

CROSS-REFERENCE TO RELATED APPLICATIONS

This application is a non-provisional utility patent application that is a continuation of U.S. non-provisional utility application U.S. Ser. No. 10/764,390, filed 23 Jan. 2004 now U.S. Pat. No. 7,638,270, now allowed; and this application claims priority from U.S. provisional patent application U.S. Ser. No. 60/442,526, filed 24 Jan. 2003. The contents of the applications listed in this paragraph are fully incorporated by reference herein.

FIELD OF THE INVENTION

The invention described herein relates to genes and their encoded proteins, termed 254P1D6B and variants thereof, expressed in certain cancers, and to diagnostic and therapeutic methods and compositions useful in the management of cancers that express 254P1D6B.

BACKGROUND OF THE INVENTION

Cancer is the second leading cause of human death next to coronary disease. Worldwide, millions of people die from cancer every year. In the United States alone, as reported by the American Cancer Society, cancer causes the death of well over a half-million people annually, with over 1.2 million new cases diagnosed per year. While deaths from heart disease have been declining significantly, those resulting from cancer generally are on the rise. In the early part of the next century, cancer is predicted to become the leading cause of death.

Worldwide, several cancers stand out as the leading killers. In particular, carcinomas of the lung, prostate, breast, colon, pancreas, and ovary represent the primary causes of cancer death. These and virtually all other carcinomas share a common lethal feature. With very few exceptions, metastatic disease from a carcinoma is fatal. Moreover, even for those cancer patients who initially survive their primary cancers, common experience has shown that their lives are dramatically altered. Many cancer patients experience strong anxieties driven by the awareness of the potential for recurrence or treatment failure. Many cancer patients experience physical debilitations following treatment. Furthermore, many cancer patients experience a recurrence.

Worldwide, prostate cancer is the fourth most prevalent cancer in men. In North America and Northern Europe, it is by far the most common cancer in males and is the second leading cause of cancer death in men. In the United States alone, well over 30,000 men die annually of this disease—second only to lung cancer. Despite the magnitude of these figures, there is still no effective treatment for metastatic prostate cancer. Surgical prostatectomy, radiation therapy, hormone ablation therapy, surgical castration and chemotherapy continue to be the main treatment modalities. Unfortunately, these treatments are ineffective for many and are often associated with undesirable consequences.

On the diagnostic front, the lack of a prostate tumor marker that can accurately detect early-stage, localized tumors remains a significant limitation in the diagnosis and management of this disease. Although the serum prostate specific antigen (PSA) assay has been a very useful tool, however its specificity and general utility is widely regarded as lacking in several important respects.

Progress in identifying additional specific markers for prostate cancer has been improved by the generation of prostate cancer xenografts that can recapitulate different stages of the disease in mice. The LAPC (Los Angeles Prostate Cancer) xenografts are prostate cancer xenografts that have survived passage in severe combined immune deficient (SCID) mice and have exhibited the capacity to mimic the transition from androgen dependence to androgen independence (Klein et al., 1997, Nat. Med. 3:402). More recently identified prostate cancer markers include PCTA-1 (Su et al., 1996, Proc. Natl. Acad. Sci. USA 93: 7252), prostate-specific membrane (PSM) antigen (Pinto et al., Clin Cancer Res 1996 Sep. 2 (9): 1445-51), STEAP (Hubert, et al., Proc Natl Acad Sci USA. 1999 Dec. 7; 96(25): 14523-8) and prostate stem cell antigen (PSCA) (Reiter et al., 1998, Proc. Natl. Acad. Sci. USA 95: 1735).

While previously identified markers such as PSA, PSM, PCTA and PSCA have facilitated efforts to diagnose and treat prostate cancer, there is need for the identification of additional markers and therapeutic targets for prostate and related cancers in order to further improve diagnosis and therapy.

Renal cell carcinoma (RCC) accounts for approximately 3 percent of adult malignancies. Once adenomas reach a diameter of 2 to 3 cm, malignant potential exists. In the adult, the two principal malignant renal tumors are renal cell adenocarcinoma and transitional cell carcinoma of the renal pelvis or ureter. The incidence of renal cell adenocarcinoma is estimated at more than 29,000 cases in the United States, and more than 11,600 patients died of this disease in 1998. Transitional cell carcinoma is less frequent, with an incidence of approximately 500 cases per year in the United States.

Surgery has been the primary therapy for renal cell adenocarcinoma for many decades. Until recently, metastatic disease has been refractory to any systemic therapy. With recent developments in systemic therapies, particularly immunotherapies, metastatic renal cell carcinoma may be approached aggressively in appropriate patients with a possibility of durable responses. Nevertheless, there is a remaining need for effective therapies for these patients.

Of all new cases of cancer in the United States, bladder cancer represents approximately 5 percent in men (fifth most common neoplasm) and 3 percent in women (eighth most common neoplasm). The incidence is increasing slowly, concurrent with an increasing older population. In 1998, there was an estimated 54,500 cases, including 39,500 in men and 15,000 in women. The age-adjusted incidence in the United States is 32 per 100,000 for men and eight per 100,000 in women. The historic male/female ratio of 3:1 may be decreasing related to smoking patterns in women. There were an estimated 11,000 deaths from bladder cancer in 1998 (7,800 in men and 3,900 in women). Bladder cancer incidence and mortality strongly increase with age and will be an increasing problem as the population becomes more elderly.

Most bladder cancers recur in the bladder. Bladder cancer is managed with a combination of transurethral resection of the bladder (TUR) and intravesical chemotherapy or immunotherapy. The multifocal and recurrent nature of bladder cancer points out the limitations of TUR. Most muscle-invasive cancers are not cured by TUR alone. Radical cystectomy and urinary diversion is the most effective means to eliminate the cancer but carry an undeniable impact on urinary and sexual function. There continues to be a significant need for treatment modalities that are beneficial for bladder cancer patients.

An estimated 130,200 cases of colorectal cancer occurred in 2000 in the United States, including 93,800 cases of colon cancer and 36,400 of rectal cancer. Colorectal cancers are the third most common cancers in men and women. Incidence rates declined significantly during 1992-1996 (−2.1% per year). Research suggests that these declines have been due to increased screening and polyp removal, preventing progression of polyps to invasive cancers. There were an estimated 56,300 deaths (47,700 from colon cancer, 8,600 from rectal cancer) in 2000, accounting for about 11% of all U.S. cancer deaths.

At present, surgery is the most common form of therapy for colorectal cancer, and for cancers that have not spread, it is frequently curative. Chemotherapy, or chemotherapy plus radiation, is given before or after surgery to most patients whose cancer has deeply perforated the bowel wall or has spread to the lymph nodes. A permanent colostomy (creation of an abdominal opening for elimination of body wastes) is occasionally needed for colon cancer and is infrequently required for rectal cancer. There continues to be a need for effective diagnostic and treatment modalities for colorectal cancer.

There were an estimated 164,100 new cases of lung and bronchial cancer in 2000, accounting for 14% of all U.S. cancer diagnoses. The incidence rate of lung and bronchial cancer is declining significantly in men, from a high of 86.5 per 100,000 in 1984 to 70.0 in 1996. In the 1990s, the rate of increase among women began to slow. In 1996, the incidence rate in women was 42.3 per 100,000.

Lung and bronchial cancer caused an estimated 156,900 deaths in 2000, accounting for 28% of all cancer deaths. During 1992-1996, mortality from lung cancer declined significantly among men (−1.7% per year) while rates for women were still significantly increasing (0.9% per year). Since 1987, more women have died each year of lung cancer than breast cancer, which, for over 40 years, was the major cause of cancer death in women. Decreasing lung cancer incidence and mortality rates most likely resulted from decreased smoking rates over the previous 30 years; however, decreasing smoking patterns among women lag behind those of men. Of concern, although the declines in adult tobacco use have slowed, tobacco use in youth is increasing again.

Treatment options for lung and bronchial cancer are determined by the type and stage of the cancer and include surgery, radiation therapy, and chemotherapy. For many localized cancers, surgery is usually the treatment of choice. Because the disease has usually spread by the time it is discovered, radiation therapy and chemotherapy are often needed in combination with surgery. Chemotherapy alone or combined with radiation is the treatment of choice for small cell lung cancer; on this regimen, a large percentage of patients experience remission, which in some cases is long lasting. There is however, an ongoing need for effective treatment and diagnostic approaches for lung and bronchial cancers.

An estimated 182,800 new invasive cases of breast cancer were expected to occur among women in the United States during 2000. Additionally, about 1,400 new cases of breast cancer were expected to be diagnosed in men in 2000. After increasing about 4% per year in the 1980s, breast cancer incidence rates in women have leveled off in the 1990s to about 110.6 cases per 100,000.

In the U.S. alone, there were an estimated 41,200 deaths (40,800 women, 400 men) in 2000 due to breast cancer. Breast cancer ranks second among cancer deaths in women. According to the most recent data, mortality rates declined significantly during 1992-1996 with the largest decreases in younger women, both white and black. These decreases were probably the result of earlier detection and improved treatment.

Taking into account the medical circumstances and the patient's preferences, treatment of breast cancer may involve lumpectomy (local removal of the tumor) and removal of the lymph nodes under the arm; mastectomy (surgical removal of the breast) and removal of the lymph nodes under the arm; radiation therapy; chemotherapy; or hormone therapy. Often, two or more methods are used in combination. Numerous studies have shown that, for early stage disease, long-term survival rates after lumpectomy plus radiotherapy are similar to survival rates after modified radical mastectomy. Significant advances in reconstruction techniques provide several options for breast reconstruction after mastectomy. Recently, such reconstruction has been done at the same time as the mastectomy.

Local excision of ductal carcinoma in situ (DCIS) with adequate amounts of surrounding normal breast tissue may prevent the local recurrence of the DCIS. Radiation to the breast and/or tamoxifen may reduce the chance of DCIS occurring in the remaining breast tissue. This is important because DCIS, if left untreated, may develop into invasive breast cancer. Nevertheless, there are serious side effects or sequalae to these treatments. There is, therefore, a need for efficacious breast cancer treatments.

There were an estimated 23,100 new cases of ovarian cancer in the United States in 2000. It accounts for 4% of all cancers among women and ranks second among gynecologic cancers. During 1992-1996, ovarian cancer incidence rates were significantly declining. Consequent to ovarian cancer, there were an estimated 14,000 deaths in 2000. Ovarian cancer causes more deaths than any other cancer of the female reproductive system.

Surgery, radiation therapy, and chemotherapy are treatment options for ovarian cancer. Surgery usually includes the removal of one or both ovaries, the fallopian tubes (salpingo-oophorectomy), and the uterus (hysterectomy). In some very early tumors, only the involved ovary will be removed, especially in young women who wish to have children. In advanced disease, an attempt is made to remove all intra-abdominal disease to enhance the effect of chemotherapy. There continues to be an important need for effective treatment options for ovarian cancer.

There were an estimated 28,300 new cases of pancreatic cancer in the United States in 2000. Over the past 20 years, rates of pancreatic cancer have declined in men. Rates among women have remained approximately constant but may be beginning to decline. Pancreatic cancer caused an estimated 28,200 deaths in 2000 in the United States. Over the past 20 years, there has been a slight but significant decrease in mortality rates among men (about −0.9% per year) while rates have increased slightly among women.

Surgery, radiation therapy, and chemotherapy are treatment options for pancreatic cancer. These treatment options can extend survival and/or relieve symptoms in many patients but are not likely to produce a cure for most. There is a significant need for additional therapeutic and diagnostic options for pancreatic cancer.

SUMMARY OF THE INVENTION

The present invention relates to a gene, designated 254P1D6B, that has now been found to be over-expressed in the cancer(s) listed in Table I. Northern blot expression analysis of 254P1D6B gene expression in normal tissues shows a restricted expression pattern in adult tissues. The nucleotide (FIG. 2) and amino acid (FIG. 2, and FIG. 3) sequences of 254P1D6B are provided. The tissue-related profile of 254P1D6B in normal adult tissues, combined with the over-expression observed in the tissues listed in Table I, shows that 254P1D6B is aberrantly over-expressed in at least some cancers, and thus serves as a useful diagnostic, prophylactic, prognostic, and/or therapeutic target for cancers of the tissue(s) such as those listed in Table I.

The invention provides polynucleotides corresponding or complementary to all or part of the 254P1D6B genes, mRNAs, and/or coding sequences, preferably in isolated form, including polynucleotides encoding 254P1D6B-related proteins and fragments of 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, or more than 25 contiguous amino acids; at least 30, 35, 40, 45, 50, 55, 60, 65, 70, 80, 85, 90, 95, 100 or more than 100 contiguous amino acids of a 254P1D6B-related protein, as well as the peptides/proteins themselves; DNA, RNA, DNA/RNA hybrids, and related molecules, polynucleotides or oligonucleotides complementary or having at least a 90% homology to the 254P1D6B genes or mRNA sequences or parts thereof, and polynucleotides or oligonucleotides that hybridize to the 254P1D6B genes, mRNAs, or to 254P1D6B-encoding polynucleotides. Also provided are means for isolating cDNAs and the genes encoding 254P1D6B. Recombinant DNA molecules containing 254P1D6B polynucleotides, cells transformed or transduced with such molecules, and host-vector systems for the expression of 254P1D6B gene products are also provided. The invention further provides antibodies that bind to 254P1D6B proteins and polypeptide fragments thereof, including polyclonal and monoclonal antibodies, murine and other mammalian antibodies, chimeric antibodies, humanized and fully human antibodies, and antibodies labeled with a detectable marker or therapeutic agent. In certain embodiments, there is a proviso that the entire nucleic acid sequence of FIG. 2 is not encoded and/or the entire amino acid sequence of FIG. 2 is not prepared. In certain embodiments, the entire nucleic acid sequence of FIG. 2 is encoded and/or the entire amino acid sequence of FIG. 2 is prepared, either of which are in respective human unit dose forms.

The invention further provides methods for detecting the presence and status of 254P1D6B polynucleotides and proteins in various biological samples, as well as methods for identifying cells that express 254P1D6B. A typical embodiment of this invention provides methods for monitoring 254P1D6B gene products in a tissue or hematology sample having or suspected of having some form of growth dysregulation such as cancer.

The invention further provides various immunogenic or therapeutic compositions and strategies for treating cancers that express 254P1D6B such as cancers of tissues listed in Table I, including therapies aimed at inhibiting the transcription, translation, processing or function of 254P1D6B as well as cancer vaccines. In one aspect, the invention provides compositions, and methods comprising them, for treating a cancer that expresses 254P1D6B in a human subject wherein the composition comprises a carrier suitable for human use and a human unit dose of one or more than one agent that inhibits the production or function of 254P1D6B. Preferably, the carrier is a uniquely human carrier. In another aspect of the invention, the agent is a moiety that is immunoreactive with 254P1D6B protein. Non-limiting examples of such moieties include, but are not limited to, antibodies (such as single chain, monoclonal, polyclonal, humanized, chimeric, or human antibodies), functional equivalents thereof (whether naturally occurring or synthetic), and combinations thereof. The antibodies can be conjugated to a diagnostic or therapeutic moiety. In another aspect, the agent is a small molecule as defined herein.

In another aspect, the agent comprises one or more than one peptide which comprises a cytotoxic T lymphocyte (CTL) epitope that binds an HLA class I molecule in a human to elicit a CTL response to 254P1D6B and/or one or more than one peptide which comprises a helper T lymphocyte (HTL) epitope which binds an HLA class II molecule in a human to elicit an HTL response. The peptides of the invention may be on the same or on one or more separate polypeptide molecules. In a further aspect of the invention, the agent comprises one or more than one nucleic acid molecule that expresses one or more than one of the CTL or HTL response stimulating peptides as described above. In yet another aspect of the invention, the one or more than one nucleic acid molecule may express a moiety that is immunologically reactive with 254P1D6B as described above. The one or more than one nucleic acid molecule may also be, or encodes, a molecule that inhibits production of 254P1D6B. Non-limiting examples of such molecules include, but are not limited to, those complementary to a nucleotide sequence essential for production of 254P1D6B (e.g. antisense sequences or molecules that form a triple helix with a nucleotide double helix essential for 254P1D6B production) or a ribozyme effective to lyse 254P1D6B mRNA.

Note that to determine the starting position of any peptide set forth in Tables VIII-XXI and XXII to XLIX (collectively HLA Peptide Tables) respective to its parental protein, e.g., variant 1, variant 2, etc., reference is made to three factors: the particular variant, the length of the peptide in an HLA Peptide Table, and the Search Peptides in Table VII. Generally, a unique Search Peptide is used to obtain HLA peptides of a particular for a particular variant. The position of each Search Peptide relative to its respective parent molecule is listed in Table VII. Accordingly, if a Search Peptide begins at position “X”, one must add the value “X-1” to each position in Tables VIII-XXI and XXII to XLIX to obtain the actual position of the HLA peptides in their parental molecule. For example, if a particular Search Peptide begins at position 150 of its parental molecule, one must add 150-1, i.e., 149 to each HLA peptide amino acid position to calculate the position of that amino acid in the parent molecule.

One embodiment of the invention comprises an HLA peptide, that occurs at least twice in Tables VIII-XXI and XXII to XLIX collectively, or an oligonucleotide that encodes the HLA peptide. Another embodiment of the invention comprises an HLA peptide that occurs at least once in Tables VIII-XXI and at least once in tables XXII to XLIX, or an oligonucleotide that encodes the HLA peptide.

Another embodiment of the invention is antibody epitopes, which comprise a peptide regions, or an oligonucleotide encoding the peptide region, that has one two, three, four, or five of the following characteristics:

i) a peptide region of at least 5 amino acids of a particular peptide of FIG. 3, in any whole number increment up to the full length of that protein in FIG. 3, that includes an amino acid position having a value equal to or greater than 0.5, 0.6, 0.7, 0.8, 0.9, or having a value equal to 1.0, in the Hydrophilicity profile of FIG. 5;

ii) a peptide region of at least 5 amino acids of a particular peptide of FIG. 3, in any whole number increment up to the full length of that protein in FIG. 3, that includes an amino acid position having a value equal to or less than 0.5, 0.4, 0.3, 0.2, 0.1, or having a value equal to 0.0, in the Hydropathicity profile of FIG. 6;

iii) a peptide region of at least 5 amino acids of a particular peptide of FIG. 3, in any whole number increment up to the full length of that protein in FIG. 3, that includes an amino acid position having a value equal to or greater than 0.5, 0.6, 0.7, 0.8, 0.9, or having a value equal to 1.0, in the Percent Accessible Residues profile of FIG. 7;

iv) a peptide region of at least 5 amino acids of a particular peptide of FIG. 3, in any whole number increment up to the full length of that protein in FIG. 3, that includes an amino acid position having a value equal to or greater than 0.5, 0.6, 0.7, 0.8, 0.9, or having a value equal to 1.0, in the Average Flexibility profile of FIG. 8; or

v) a peptide region of at least 5 amino acids of a particular peptide of FIG. 3, in any whole number increment up to the full length of that protein in FIG. 3, that includes an amino acid position having a value equal to or greater than 0.5, 0.6, 0.7, 0.8, 0.9, or having a value equal to 1.0, in the Beta-turn profile of FIG. 9.

BRIEF DESCRIPTION OF THE FIGURES

FIG. 1. The 254P1D6B SSH sequence of 284 nucleotides.

FIG. 2. A) The cDNA and amino acid sequence of 254P1D6B variant 1 (also called “254P1D6B v.1” or “254P1D6B variant 1”) is shown in FIG. 2A. The start methionine is underlined. The open reading frame extends from nucleic acid 512-3730 including the stop codon.

B) The cDNA and amino acid sequence of 254P1D6B variant 2 (also called “254P1D6B v.2”) is shown in FIG. 2B. The codon for the start methionine is underlined. The open reading frame extends from nucleic acid 512-3730 including the stop codon.

C) The cDNA and amino acid sequence of 254P1D6B variant 3 (also called “254P1D6B v.3”) is shown in FIG. 2C. The codon for the start methionine is underlined. The open reading frame extends from nucleic acid 739-3930 including the stop codon.

D) 254P1D6B v.4 through v.20, SNP variants of 254P1D6B v.1. The 254P1D6B v.4 through v.20 (also called “254P1D6B variant 4 through variant 20”) proteins have 1072 amino acids. Variants 254P1D6B v.4 through v.20 are variants with single nucleotide difference from 254P1D6B v.1. 254P1D6B v.5 and v.6 proteins differ from 254P1D6B v.1 by one amino acid. 254P1D6B v.4 and v.7 through v.20 proteins code for the same protein as v.1. Though these SNP variants are shown separately, they can also occur in any combinations and in any of the transcript variants listed above in FIG. 2A, FIG. 2B, and FIG. 2C.

FIG. 3. A) The amino acid sequence of 254P1D6B v.1 clone LCP-3 is shown in FIG. 3A; it has 1072 amino acids.

B) The amino acid sequence of 254P1D6B v.2 is shown in FIG. 3B; it has 1072 amino acids.

C) The amino acid sequence of 254P1D6B v.3 is shown in FIG. 3C; it has 1063 amino acids.

D) The amino acid sequence of 254P1D6B v.5 is shown in FIG. 3D; it has 1072 amino acids.

E) The amino acid sequence of 254P1D6B v.6 is shown in FIG. 3E; it has 1072 amino acids.

As used herein, a reference to 254P1D6B includes all variants thereof, including those shown in FIGS. 2, 3, 10, 11, and 12 unless the context clearly indicates otherwise.

FIG. 4. Intentionally Omitted.

FIG. 5. Hydrophilicity amino acid profile of 254P1D6B v.1 determined by computer algorithm sequence analysis using the method of Hopp and Woods (Hopp T. P., Woods K. R., 1981. Proc. Natl. Acad. Sci. U.S.A. 78:3824-3828) accessed on the Protscale website located on the World Wide Web at (expasy.ch/cgi-bin/protscale.pl) through the ExPasy molecular biology server.

FIG. 6. Hydropathicity amino acid profile of 254P1D6B v.1 determined by computer algorithm sequence analysis using the method of Kyte and Doolittle (Kyte J., Doolittle R. F., 1982. J. Mol. Biol. 157:105-132) accessed on the ProtScale website located on the World Wide Web at (.expasy.ch/cgi-bin/protscale.pl) through the ExPasy molecular biology server.

FIG. 7. Percent accessible residues amino acid profile of 254P1D6B v.1 determined by computer algorithm sequence analysis using the method of Janin (Janin J., 1979 Nature 277:491-492) accessed on the ProtScale website located on the World Wide Web at (.expasy.ch/cgi-bin/protscale.pl) through the ExPasy molecular biology server.

FIG. 8. Average flexibility amino acid profile of 254P1D6B v.1 determined by computer algorithm sequence analysis using the method of Bhaskaran and Ponnuswamy (Bhaskaran R., and Ponnuswamy P. K., 1988. Int. J. Pept. Protein Res. 32:242-255) accessed on the ProtScale website located on the World Wide Web at (.expasy.ch/cgi-bin/protscale.pl) through the ExPasy molecular biology server.

FIG. 9. Beta-turn amino acid profile of 254P1D6B v.1 determined by computer algorithm sequence analysis using the method of Deleage and Roux (Deleage, G., Roux B. 1987 Protein Engineering 1:289-294) accessed on the ProtScale website located on the World Wide Web at (.expasy.ch/cgi-bin/protscale.pl) through the ExPasy molecular biology server.

FIG. 10. Structures of transcript variants of 254P1D6B. Variant 254P1D6B v.3 was identified as a transcript variant of 254P1D6B v.1. Variant 254P1D6B v.3 extended exon 1 by 109 bp as compared to v.1 and added an exon in between exons 2 and 3 of variant v.1. Poly A tails and SNP are not shown here. Numbers in “( )” underneath the boxes correspond to those of 254P1D6B v.1. Lengths of introns and exons are not proportional.

FIG. 11. Schematic alignment of protein variants of 254P1D6B. Protein variants correspond to nucleotide variants. Nucleotide variants 254P1D6B v.4 and v.7 through v.20 coded for the same protein as v.1. Variant v.2 coded the same protein as variant v.6. 254P1D6Bv.5 coded for a protein that differed by one amino acid from v.1. Nucleotide variant 254P1D6B v.3 was a transcript variant of v.1, as shown in FIG. 10, and coded a protein that differed from v.1 in the N-terminal. SNP in v.1 could also appear in v.3. Single amino acid differences were indicated above the boxes. Black boxes represent the same sequence as 254P1D6B v.1. Numbers underneath the box correspond to 254P1D6B.

FIG. 12. Schematic alignment of SNP variants of 254P1D6B. Variants 254P1D6B v.4 through v.20 were variants with single nucleotide differences as compared to variant v.1 (ORF: 512-3730). Though these SNP variants were shown separately, they could also occur in any combinations, (e.g., occur with 254P1D6Bv.2, and in any transcript variants that contained the base pairs, such as v.3 shown in FIG. 10. Numbers correspond to those of 254P1D6B v.1. Black box shows the same sequence as 254P1D6B v.1. SNPs are indicated above the box.

FIG. 13. Secondary structure and transmembrane domains prediction for 254P1D6b protein variant 1.

FIG. 13A: The secondary structures of 254P1D6b protein variant was predicted using the HNN—Hierarchical Neural Network method (NPS@: Network Protein Sequence Analysis TIBS 2000 March Vol. 25, No 3 [291]:147-150 Combet C., Blanchet C., Geourjon C. and Deléage G., on the World Wide Web at pbil.ibcp.fr/cgi-bin/npsa_automat.pl?page=npsa_nn.html), accessed from the ExPasy molecular biology server located on the World Wide Web at .expasy.ch/tools/. This method predicts the presence and location of alpha helices, extended strands, and random coils from the primary protein sequence. The percent of the protein variant in a given secondary structure is also listed. FIG. 13B: Schematic representation of the probability of existence of transmembrane regions of 254P1D6b variant 1 based on the TMpred algorithm of Hofmann and Stoffel which utilizes TMBASE (K. Hofmann, W. Stoffel. TMBASE-A database of membrane spanning protein segments Biol. Chem. Hoppe-Seyler 374:166, 1993). FIG. 13C: Schematic representation of the probability of the existence of transmembrane regions of 254P1D6b variant 1 based on the TMHMM algorithm of Sonnhammer, von Heijne, and Krogh (Erik L. L. Sonnhammer, Gunnar von Heijne, and Anders Krogh: A hidden Markov model for predicting transmembrane helices in protein sequences. In Proc. of Sixth Int. Conf. on Intelligent Systems for Molecular Biology, p 175-182 Ed J. Glasgow, T. Littlejohn, F. Major, R. Lathrop, D. Sankoff, and C. Sensen Menlo Park, Calif.: AAAI Press, 1998). The TMpred and TMHMM algorithms are accessed from the ExPasy molecular biology server located on the World Wide Web at .expasy.ch/tools/.

FIG. 14. Expression of 254P1D6B by RT-PCR. First strand cDNA was prepared from vital pool 1 (liver, lung and kidney), vital pool 2 (pancreas, colon and stomach), normal lung, ovary cancer pool, lung cancer pool (FIG. 14A), as well as from normal stomach, brain, heart, liver, spleen, skeletal muscle, testis, prostate, bladder, kidney, colon, lung and ovary cancer pool (FIG. 14B). Normalization was performed by PCR using primers to actin and GAPDH. Semi-quantitative PCR, using primers to 254P1D6B, was performed at 26 and 30 cycles of amplification. Results show strong expression of 254P1D6B in lung cancer pool and ovary cancer pool but not in normal lung nor in vital pool 1. Low expression was detected in vital pool 2.

FIG. 15. Expression of 254P1D6B in normal tissues. Two multiple tissue northern blots (Clontech) both with 2 ug of mRNA/lane were probed with the 254P1D6B sequence. Size standards in kilobases (kb) are indicated on the side. Results show expression of two 254P1D6B transcript, 4.4 kb and 7.5 kb primarily in brain and testis, and only the 4.4 kb transcript in placenta, but not in any other normal tissue tested.

FIG. 16. Expression of 254P1D6B in lung cancer patient specimens. First strand cDNA was prepared from normal lung lung cancer cell line A427 and a panel of lung cancer patient specimens. Normalization was performed by PCR using primers to actin and GAPDH. Semi-quantitative PCR, using primers to 254P1D6B, was performed at 26 and 30 cycles of amplification. Results show expression of 254P1D6B in 13 out of 30 tumor specimens tested but not in normal lung. Expression was also detected in the A427 cell line.

FIG. 17. Expression of 254P1D6b in 293T cells. FIG. 17A. 293T cells were transfected with either an empty pcDNA 3.1 vector plasmid or pcDNA 3.1 plasmid encoding the full length cDNA of 254P1D6b. 2 days post-transfection, lysates were prepared from the transfected cells and separated by SDS-PAGE, transferred to nitrocellulose and subjected to Western blotting using an anti-His pAb (Santa Cruz Biotechnology, Santa Cruz, Calif.) to detect the C-terminal epitope tag on the protein. An arrow indicates the band corresponding to the full length 254P1D6b protein product. An additional verified lysate containing an epitope tagged AGSX protein served as a positive control. FIG. 17B. 293T cells were transfected with either an empty vector or the Tag5 expression vector encoding the extracellular domain (ECD) of 254P1D6 (amino acids 26-953) and subjected to SDS-PAGE and Western blotting as described above. An arrow indicates the band corresponding to the 254P1D6b ECD present in the lysates and the media from transfected cells.

DETAILED DESCRIPTION OF THE INVENTION

Outline of Sections

-   -   I.) Definitions     -   II.) 254P1D6B Polynucleotides     -   II.A.) Uses of 254P1D6B Polynucleotides         -   II.A.1.) Monitoring of Genetic Abnormalities         -   II.A.2.) Antisense Embodiments         -   II.A.3.) Primers and Primer Pairs         -   II.A.4.) Isolation of 254P1D6B-Encoding Nucleic Acid             Molecules         -   II.A.5.) Recombinant Nucleic Acid Molecules and Host-Vector             Systems     -   III.) 254P1D6B-related Proteins     -   III.A.) Motif-bearing Protein Embodiments     -   III.B.) Expression of 254P1D6B-related Proteins     -   III.C.) Modifications of 254P1D6B-related Proteins     -   III.D.) Uses of 254P1D6B-related Proteins     -   IV.) 254P1D6B Antibodies     -   V.) 254P1D6B Cellular Immune Responses     -   VI.) 254P1D6B Transgenic Animals     -   VII.) Methods for the Detection of 254P1D6B     -   VIII.) Methods for Monitoring the Status of 254P1D6B-related         Genes and Their Products     -   IX.) Identification of Molecules That Interact With 254P1D6B     -   X.) Therapeutic Methods and Compositions     -   X.A.) Anti-Cancer Vaccines     -   X.B.) 254P1D6B as a Target for Antibody-Based Therapy     -   X.C.) 254P1D6B as a Target for Cellular Immune Responses         -   X.C.1. Minigene Vaccines         -   X.C.2. Combinations of CTL Peptides with Helper Peptides         -   X.C.3. Combinations of CTL Peptides with T Cell Priming             Agents         -   X.C.4. Vaccine Compositions Comprising DC Pulsed with CTL             and/or HTL Peptides     -   X.D.) Adoptive Immunotherapy     -   X.E.) Administration of Vaccines for Therapeutic or Prophylactic         Purposes     -   XI.) Diagnostic and Prognostic Embodiments of 254P1D6B.     -   XII.) Inhibition of 254P1D6B Protein Function     -   XII.A.) Inhibition of 254P1D6B With Intracellular Antibodies     -   XII.B.) Inhibition of 254P1D6B with Recombinant Proteins     -   XII.C.) Inhibition of 254P1D6B Transcription or Translation     -   XII.D.) General Considerations for Therapeutic Strategies     -   XIII.) Identification, Characterization and Use of Modulators of         254P1D6B     -   XIV.) RNAi and Therapeutic use of small interfering RNA     -   XV.) KITS/Articles of Manufacture         I.) Definitions:

Unless otherwise defined, all terms of art, notations and other scientific terms or terminology used herein are intended to have the meanings commonly understood by those of skill in the art to which this invention pertains. In some cases, terms with commonly understood meanings are defined herein for clarity and/or for ready reference, and the inclusion of such definitions herein should not necessarily be construed to represent a substantial difference over what is generally understood in the art. Many of the techniques and procedures described or referenced herein are well understood and commonly employed using conventional methodology by those skilled in the art, such as, for example, the widely utilized molecular cloning methodologies described in Sambrook et al., Molecular Cloning: A Laboratory Manual 2nd. edition (1989) Cold Spring Harbor Laboratory Press, Cold Spring Harbor, N.Y. As appropriate, procedures involving the use of commercially available kits and reagents are generally carried out in accordance with manufacturer defined protocols and/or parameters unless otherwise noted.

The terms “advanced prostate cancer”, “locally advanced prostate cancer”, “advanced disease” and “locally advanced disease” mean prostate cancers that have extended through the prostate capsule, and are meant to include stage C disease under the American Urological Association (AUA) system, stage C1-C2 disease under the Whitmore-Jewett system, and stage T3-T4 and N+ disease under the TNM (tumor, node, metastasis) system. In general, surgery is not recommended for patients with locally advanced disease, and these patients have substantially less favorable outcomes compared to patients having clinically localized (organ-confined) prostate cancer. Locally advanced disease is clinically identified by palpable evidence of induration beyond the lateral border of the prostate, or asymmetry or induration above the prostate base. Locally advanced prostate cancer is presently diagnosed pathologically following radical prostatectomy if the tumor invades or penetrates the prostatic capsule, extends into the surgical margin, or invades the seminal vesicles.

“Altering the native glycosylation pattern” is intended for purposes herein to mean deleting one or more carbohydrate moieties found in native sequence 254P1D6B (either by removing the underlying glycosylation site or by deleting the glycosylation by chemical and/or enzymatic means), and/or adding one or more glycosylation sites that are not present in the native sequence 254P1D6B. In addition, the phrase includes qualitative changes in the glycosylation of the native proteins, involving a change in the nature and proportions of the various carbohydrate moieties present.

The term “analog” refers to a molecule which is structurally similar or shares similar or corresponding attributes with another molecule (e.g. a 254P1D6B-related protein). For example, an analog of a 254P1D6B protein can be specifically bound by an antibody or T cell that specifically binds to 254P1D6B.

The term “antibody” is used in the broadest sense. Therefore, an “antibody” can be naturally occurring or man-made such as monoclonal antibodies produced by conventional hybridoma technology. Anti-254P1D6B antibodies comprise monoclonal and polyclonal antibodies as well as fragments containing the antigen-binding domain and/or one or more complementarity determining regions of these antibodies.

An “antibody fragment” is defined as at least a portion of the variable region of the immunoglobulin molecule that binds to its target, i.e., the antigen-binding region. In one embodiment it specifically covers single anti-254P1D6B antibodies and clones thereof (including agonist, antagonist and neutralizing antibodies) and anti-254P1D6B antibody compositions with polyepitopic specificity.

The term “codon optimized sequences” refers to nucleotide sequences that have been optimized for a particular host species by replacing any codons having a usage frequency of less than about 20%. Nucleotide sequences that have been optimized for expression in a given host species by elimination of spurious polyadenylation sequences, elimination of exon/intron splicing signals, elimination of transposon-like repeats and/or optimization of GC content in addition to codon optimization are referred to herein as an “expression enhanced sequences.”

A “combinatorial library” is a collection of diverse chemical compounds generated by either chemical synthesis or biological synthesis by combining a number of chemical “building blocks” such as reagents. For example, a linear combinatorial chemical library, such as a polypeptide (e.g., mutein) library, is formed by combining a set of chemical building blocks called amino acids in every possible way for a given compound length (i.e., the number of amino acids in a polypeptide compound). Numerous chemical compounds are synthesized through such combinatorial mixing of chemical building blocks (Gallop et al., J. Med. Chem. 37(9): 1233-1251 (1994)).

Preparation and screening of combinatorial libraries is well known to those of skill in the art. Such combinatorial chemical libraries include, but are not limited to, peptide libraries (see, e.g., U.S. Pat. No. 5,010,175, Furka, Pept. Prot. Res. 37:487-493 (1991), Houghton et al., Nature, 354:84-88 (1991)), peptoids (PCT Publication No WO 91/19735), encoded peptides (PCT Publication WO 93/20242), random bio-oligomers (PCT Publication WO 92/00091), benzodiazepines (U.S. Pat. No. 5,288,514), diversomers such as hydantoins, benzodiazepines and dipeptides (Hobbs et al., Proc. Nat. Acad. Sci. USA 90:6909-6913 (1993)), vinylogous polypeptides (Hagihara et al., J. Amer. Chem. Soc. 114:6568 (1992)), nonpeptidal peptidomimetics with a Beta-D-Glucose scaffolding (Hirschmann et al., J. Amer. Chem. Soc. 114:9217-9218 (1992)), analogous organic syntheses of small compound libraries (Chen et al., J. Amer. Chem. Soc. 116:2661 (1994)), oligocarbamates (Cho, et al., Science 261:1303 (1993)), and/or peptidyl phosphonates (Campbell et al., J. Org. Chem. 59:658 (1994)). See, generally, Gordon et al., J. Med. Chem. 37:1385 (1994), nucleic acid libraries (see, e.g., Stratagene, Corp.), peptide nucleic acid libraries (see, e.g., U.S. Pat. No. 5,539,083), antibody libraries (see, e.g., Vaughn et al., Nature Biotechnology 14(3): 309-314 (1996), and PCT/US96/10287), carbohydrate libraries (see, e.g., Liang et al., Science 274:1520-1522 (1996), and U.S. Pat. No. 5,593,853), and small organic molecule libraries (see, e.g., benzodiazepines, Baum, C&EN, January 18, page 33 (1993); isoprenoids, U.S. Pat. No. 5,569,588; thiazolidinones and metathiazanones, U.S. Pat. No. 5,549,974; pyrrolidines, U.S. Pat. Nos. 5,525,735 and 5,519,134; morpholino compounds, U.S. Pat. No. 5,506,337; benzodiazepines, U.S. Pat. No. 5,288,514; and the like).

Devices for the preparation of combinatorial libraries are commercially available (see, e.g., 357 NIPS, 390 NIPS, Advanced Chem Tech, Louisville Ky.; Symphony, Rainin, Woburn, Mass.; 433A, Applied Biosystems, Foster City, Calif.; 9050, Plus, Millipore, Bedford, NIA). A number of well-known robotic systems have also been developed for solution phase chemistries. These systems include automated workstations such as the automated synthesis apparatus developed by Takeda Chemical Industries, LTD. (Osaka, Japan) and many robotic systems utilizing robotic arms (Zymate H, Zymark Corporation, Hopkinton, Mass.; Orca, Hewlett-Packard, Palo Alto, Calif.), which mimic the manual synthetic operations performed by a chemist. Any of the above devices are suitable for use with the present invention. The nature and implementation of modifications to these devices (if any) so that they can operate as discussed herein will be apparent to persons skilled in the relevant art. In addition, numerous combinatorial libraries are themselves commercially available (see, e.g., ComGenex, Princeton, N.J.; Asinex, Moscow, RU; Tripos, Inc., St. Louis, Mo.; ChemStar, Ltd, Moscow, RU; 3D Pharmaceuticals, Exton, Pa.; Martek Biosciences, Columbia, Md.; etc.).

The term “cytotoxic agent” refers to a substance that inhibits or prevents the expression activity of cells, function of cells and/or causes destruction of cells. The term is intended to include radioactive isotopes chemotherapeutic agents, and toxins such as small molecule toxins or enzymatically active toxins of bacterial, fungal, plant or animal origin, including fragments and/or variants thereof. Examples of cytotoxic agents include, but are not limited to auristatins, auromycins, maytansinoids, yttrium, bismuth, ricin, ricin A-chain, combrestatin, duocarmycins, dolostatins, doxorubicin, daunorubicin, taxol, cisplatin, cc1065, ethidium bromide, mitomycin, etoposide, tenoposide, vincristine, vinblastine, colchicine, dihydroxy anthracin dione, actinomycin, diphtheria toxin, Pseudomonas exotoxin (PE) A, PE40, abrin, abrin A chain, modeccin A chain, alpha-sarcin, gelonin, mitogellin, restrictocin, phenomycin, enomycin, curicin, crotin, calicheamicin, Sapaonaria officinalis inhibitor, and glucocorticoid and other chemotherapeutic agents, as well as radioisotopes such as At²¹¹, I¹³¹, I¹²⁵, Y⁹⁰ Re¹⁸⁶, Re¹⁸⁸, Sm¹⁵³, Bi^(212 or 213), P³² and radioactive isotopes of Lu including Lu¹⁷⁷. Antibodies may also be conjugated to an anti-cancer pro-drug activating enzyme capable of converting the pro-drug to its active form.

The “gene product” is sometimes referred to herein as a protein or mRNA. For example, a “gene product of the invention” is sometimes referred to herein as a “cancer amino acid sequence”, “cancer protein”, “protein of a cancer listed in Table I”, a “cancer mRNA”, “mRNA of a cancer listed in Table I”, etc. In one embodiment, the cancer protein is encoded by a nucleic acid of FIG. 2. The cancer protein can be a fragment, or alternatively, be the full-length protein to the fragment encoded by the nucleic acids of FIG. 2. In one embodiment, a cancer amino acid sequence is used to determine sequence identity or similarity. In another embodiment, the sequences are naturally occurring allelic variants of a protein encoded by a nucleic acid of FIG. 2. In another embodiment, the sequences are sequence variants as further described herein.

“High throughput screening” assays for the presence, absence, quantification, or other properties of particular nucleic acids or protein products are well known to those of skill in the art. Similarly, binding assays and reporter gene assays are similarly well known. Thus, e.g., U.S. Pat. No. 5,559,410 discloses high throughput screening methods for proteins; U.S. Pat. No. 5,585,639 discloses high throughput screening methods for nucleic acid binding (i.e., in arrays); while U.S. Pat. Nos. 5,576,220 and 5,541,061 disclose high throughput methods of screening for ligand/antibody binding.

In addition, high throughput screening systems are commercially available (see, e.g., Amersham Biosciences, Piscataway, N.J.; Zymark Corp., Hopkinton, Mass.; Air Technical Industries, Mentor, Ohio; Beckman Instruments, Inc. Fullerton, Calif.; Precision Systems, Inc., Natick, Mass.; etc.). These systems typically automate entire procedures, including all sample and reagent pipetting, liquid dispensing, timed incubations, and final readings of the microplate in detector(s) appropriate for the assay. These configurable systems provide high throughput and rapid start up as well as a high degree of flexibility and customization. The manufacturers of such systems provide detailed protocols for various high throughput systems. Thus, e.g., Zymark Corp. provides technical bulletins describing screening systems for detecting the modulation of gene transcription, ligand binding, and the like.

The term “homolog” refers to a molecule which exhibits homology to another molecule, by for example, having sequences of chemical residues that are the same or similar at corresponding positions.

“Human Leukocyte Antigen” or “HLA” is a human class I or class II Major Histocompatibility Complex (MHC) protein (see, e.g., Stites, et al., IMMUNOLOGY, 8^(TH) ED., Lange Publishing, Los Altos, Calif. (1994).

The terms “hybridize”, “hybridizing”, “hybridizes” and the like, used in the context of polynucleotides, are meant to refer to conventional hybridization conditions, preferably such as hybridization in 50% formamide/6×SSC/0.1% SDS/100 μg/ml ssDNA, in which temperatures for hybridization are above 37 degrees C. and temperatures for washing in 01XSSC/0.1% SDS are above 55 degrees C.

The phrases “isolated” or “biologically pure” refer to material which is substantially or essentially free from components which normally accompany the material as it is found in its native state. Thus, isolated peptides in accordance with the invention preferably do not contain materials normally associated with the peptides in their in situ environment. For example, a polynucleotide is said to be “isolated” when it is substantially separated from contaminant polynucleotides that correspond or are complementary to genes other than the 254P1D6B genes or that encode polypeptides other than 254P1D6B gene product or fragments thereof. A skilled artisan can readily employ nucleic acid isolation procedures to obtain an isolated 254P1D6B polynucleotide. A protein is said to be “isolated,” for example, when physical, mechanical or chemical methods are employed to remove the 254P1D6B proteins from cellular constituents that are normally associated with the protein. A skilled artisan can readily employ standard purification methods to obtain an isolated 254P1D6B protein. Alternatively, an isolated protein can be prepared by chemical means.

The term “mammal” refers to any organism classified as a mammal, including mice, rats, rabbits, dogs, cats, cows, horses and humans. In one embodiment of the invention, the mammal is a mouse. In another embodiment of the invention, the mammal is a human.

The terms “metastatic prostate cancer” and “metastatic disease” mean prostate cancers that have spread to regional lymph nodes or to distant sites, and are meant to include stage D disease under the AUA system and stage T×N×M+ under the TNM system. As is the case with locally advanced prostate cancer, surgery is generally not indicated for patients with metastatic disease, and hormonal (androgen ablation) therapy is a preferred treatment modality. Patients with metastatic prostate cancer eventually develop an androgen-refractory state within 12 to 18 months of treatment initiation. Approximately half of these androgen-refractory patients die within 6 months after developing that status. The most common site for prostate cancer metastasis is bone. Prostate cancer bone metastases are often osteoblastic rather than osteolytic (i.e., resulting in net bone formation). Bone metastases are found most frequently in the spine, followed by the femur, pelvis, rib cage, skull and humerus. Other common sites for metastasis include lymph nodes, lung, liver and brain. Metastatic prostate cancer is typically diagnosed by open or laparoscopic pelvic lymphadenectomy, whole body radionuclide scans, skeletal radiography, and/or bone lesion biopsy.

The term “modulator” or “test compound” or “drug candidate” or grammatical equivalents as used herein describe any molecule, e.g., protein, oligopeptide, small organic molecule, polysaccharide, polynucleotide, etc., to be tested for the capacity to directly or indirectly alter the cancer phenotype or the expression of a cancer sequence, e.g., a nucleic acid or protein sequences, or effects of cancer sequences (e.g., signaling, gene expression, protein interaction, etc.) In one aspect, a modulator will neutralize the effect of a cancer protein of the invention. By “neutralize” is meant that an activity of a protein is inhibited or blocked, along with the consequent effect on the cell. In another aspect, a modulator will neutralize the effect of a gene, and its corresponding protein, of the invention by normalizing levels of said protein. In preferred embodiments, modulators alter expression profiles, or expression profile nucleic acids or proteins provided herein, or downstream effector pathways. In one embodiment, the modulator suppresses a cancer phenotype, e.g. to a normal tissue fingerprint. In another embodiment, a modulator induced a cancer phenotype. Generally, a plurality of assay mixtures is run in parallel with different agent concentrations to obtain a differential response to the various concentrations. Typically, one of these concentrations serves as a negative control, i.e., at zero concentration or below the level of detection.

Modulators, drug candidates or test compounds encompass numerous chemical classes, though typically they are organic molecules, preferably small organic compounds having a molecular weight of more than 100 and less than about 2,500 Daltons. Preferred small molecules are less than 2000, or less than 1500 or less than 1000 or less than 500 D. Candidate agents comprise functional groups necessary for structural interaction with proteins, particularly hydrogen bonding, and typically include at least an amine, carbonyl, hydroxyl or carboxyl group, preferably at least two of the functional chemical groups. The candidate agents often comprise cyclical carbon or heterocyclic structures and/or aromatic or polyaromatic structures substituted with one or more of the above functional groups. Modulators also comprise biomolecules such as peptides, saccharides, fatty acids, steroids, purines, pyrimidines, derivatives, structural analogs or combinations thereof. Particularly preferred are peptides. One class of modulators are peptides, for example of from about five to about 35 amino acids, with from about five to about 20 amino acids being preferred, and from about 7 to about 15 being particularly preferred. Preferably, the cancer modulatory protein is soluble, includes a non-transmembrane region, and/or, has an N-terminal Cys to aid in solubility. In one embodiment, the C-terminus of the fragment is kept as a free acid and the N-terminus is a free amine to aid in coupling, i.e., to cysteine. In one embodiment, a cancer protein of the invention is conjugated to an immunogenic agent as discussed herein. In one embodiment, the cancer protein is conjugated to BSA. The peptides of the invention, e.g., of preferred lengths, can be linked to each other or to other amino acids to create a longer peptide/protein. The modulatory peptides can be digests of naturally occurring proteins as is outlined above, random peptides, or “biased” random peptides. In a preferred embodiment, peptide/protein-based modulators are antibodies, and fragments thereof, as defined herein.

Modulators of cancer can also be nucleic acids. Nucleic acid modulating agents can be naturally occurring nucleic acids, random nucleic acids, or “biased” random nucleic acids. For example, digests of prokaryotic or eukaryotic genomes can be used in an approach analogous to that outlined above for proteins.

The term “monoclonal antibody” refers to an antibody obtained from a population of substantially homogeneous antibodies, i.e., the antibodies comprising the population are identical except for possible naturally occurring mutations that are present in minor amounts.

A “motif”, as in biological motif of a 254P1D6B-related protein, refers to any pattern of amino acids forming part of the primary sequence of a protein, that is associated with a particular function (e.g. protein-protein interaction, protein-DNA interaction, etc) or modification (e.g. that is phosphorylated, glycosylated or amidated), or localization (e.g. secretory sequence, nuclear localization sequence, etc.) or a sequence that is correlated with being immunogenic, either humorally or cellularly. A motif can be either contiguous or capable of being aligned to certain positions that are generally correlated with a certain function or property. In the context of HLA motifs, “motif” refers to the pattern of residues in a peptide of defined length, usually a peptide of from about 8 to about 13 amino acids for a class I HLA motif and from about 6 to about 25 amino acids for a class II HLA motif, which is recognized by a particular HLA molecule. Peptide motifs for HLA binding are typically different for each protein encoded by each human HLA allele and differ in the pattern of the primary and secondary anchor residues.

A “pharmaceutical excipient” comprises a material such as an adjuvant, a carrier, pH-adjusting and buffering agents, tonicity adjusting agents, wetting agents, preservative, and the like.

“Pharmaceutically acceptable” refers to a non-toxic, inert, and/or composition that is physiologically compatible with humans or other mammals.

The term “polynucleotide” means a polymeric form of nucleotides of at least 10 bases or base pairs in length, either ribonucleotides or deoxynucleotides or a modified form of either type of nucleotide, and is meant to include single and double stranded forms of DNA and/or RNA. In the art, this term if often used interchangeably with “oligonucleotide”. A polynucleotide can comprise a nucleotide sequence disclosed herein wherein thymidine (T), as shown for example in FIG. 2, can also be uracil (U); this definition pertains to the differences between the chemical structures of DNA and RNA, in particular the observation that one of the four major bases in RNA is uracil (U) instead of thymidine (T).

The term “polypeptide” means a polymer of at least about 4, 5, 6, 7, or 8 amino acids. Throughout the specification, standard three letter or single letter designations for amino acids are used. In the art, this term is often used interchangeably with “peptide” or “protein”.

An HLA “primary anchor residue” is an amino acid at a specific position along a peptide sequence which is understood to provide a contact point between the immunogenic peptide and the HLA molecule. One to three, usually two, primary anchor residues within a peptide of defined length generally defines a “motif” for an immunogenic peptide. These residues are understood to fit in close contact with peptide binding groove of an HLA molecule, with their side chains buried in specific pockets of the binding groove. In one embodiment, for example, the primary anchor residues for an HLA class I molecule are located at position 2 (from the amino terminal position) and at the carboxyl terminal position of a 8, 9, 10, 11, or 12 residue peptide epitope in accordance with the invention. Alternatively, in another embodiment, the primary anchor residues of a peptide binds an HLA class II molecule are spaced relative to each other, rather than to the termini of a peptide, where the peptide is generally of at least 9 amino acids in length. The primary anchor positions for each motif and supermotif are set forth in Table IV. For example, analog peptides can be created by altering the presence or absence of particular residues in the primary and/or secondary anchor positions shown in Table IV. Such analogs are used to modulate the binding affinity and/or population coverage of a peptide comprising a particular HLA motif or supermotif.

“Radioisotopes” include, but are not limited to the following (non-limiting exemplary uses are also set forth):

Examples of Medical Isotopes: Isotope Description of use Actinium-225 See Thorium-229 (Th-229) (AC-225) Actinium-227 Parent of Radium-223 (Ra-223) which is an alpha emitter used to treat (AC-227) metastases in the skeleton resulting from cancer (i.e., breast and prostate cancers), and cancer radioimmunotherapy Bismuth-212 See Thorium-228 (Th-228) (Bi-212) Bismuth-213 See Thorium-229 (Th-229) (Bi-213) Cadmium-109 Cancer detection (Cd-109) Cobalt-60 Radiation source for radiotherapy of cancer, for food irradiators, and for (Co-60) sterilization of medical supplies Copper-64 A positron emitter used for cancer therapy and SPECT imaging (Cu-64) Copper-67 Beta/gamma emitter used in cancer radioimmunotherapy and diagnostic (Cu-67) studies (i.e., breast and colon cancers, and lymphoma) Dysprosium-166 Cancer radioimmunotherapy (Dy-166) Erbium-169 Rheumatoid arthritis treatment, particularly for the small joints associated with (Er-169) fingers and toes Europium-152 Radiation source for food irradiation and for sterilization of medical supplies (Eu-152) Europium-154 Radiation source for food irradiation and for sterilization of medical supplies (Eu-154) Gadolinium-153 Osteoporosis detection and nuclear medical quality assurance devices (Gd-153) Gold-198 Implant and intracavity therapy of ovarian, prostate, and brain cancers (Au-198) Holmium-166 Multiple myeloma treatment in targeted skeletal therapy, cancer (Ho-166) radioimmunotherapy, bone marrow ablation, and rheumatoid arthritis treatment Iodine-125 Osteoporosis detection, diagnostic imaging, tracer drugs, brain cancer (I-125) treatment, radiolabeling, tumor imaging, mapping of receptors in the brain, interstitial radiation therapy, brachytherapy for treatment of prostate cancer, determination of glomerular filtration rate (GFR), determination of plasma volume, detection of deep vein thrombosis of the legs Iodine-131 Thyroid function evaluation, thyroid disease detection, treatment of thyroid (I-131) cancer as well as other non-malignant thyroid diseases (i.e., Graves disease, goiters, and hyperthyroidism), treatment of leukemia, lymphoma, and other forms of cancer (e.g., breast cancer) using radioimmunotherapy Iridium-192 Brachytherapy, brain and spinal cord tumor treatment, treatment of blocked (Ir-192) arteries (i.e., arteriosclerosis and restenosis), and implants for breast and prostate tumors Lutetium-177 Cancer radioimmunotherapy and treatment of blocked arteries (i.e., (Lu-177) arteriosclerosis and restenosis) Molybdenum-99 Parent of Technetium-99m (Tc-99m) which is used for imaging the brain, (Mo-99) liver, lungs, heart, and other organs. Currently, Tc-99m is the most widely used radioisotope used for diagnostic imaging of various cancers and diseases involving the brain, heart, liver, lungs; also used in detection of deep vein thrombosis of the legs Osmium-194 Cancer radioimmunotherapy (Os-194) Palladium-103 Prostate cancer treatment (Pd-103) Platinum-195m Studies on biodistribution and metabolism of cisplatin, a chemotherapeutic (Pt-195m) drug Phosphorus-32 Polycythemia rubra vera (blood cell disease) and leukemia treatment, bone (P-32) cancer diagnosis/treatment; colon, pancreatic, and liver cancer treatment; radiolabeling nucleic acids for in vitro research, diagnosis of superficial tumors, treatment of blocked arteries (i.e., arteriosclerosis and restenosis), and intracavity therapy Phosphorus-33 Leukemia treatment, bone disease diagnosis/treatment, radiolabeling, and (P-33) treatment of blocked arteries (i.e., arteriosclerosis and restenosis) Radium-223 See Actinium-227 (Ac-227) (Ra-223) Rhenium-186 Bone cancer pain relief, rheumatoid arthritis treatment, and diagnosis and (Re-186) treatment of lymphoma and bone, breast, colon, and liver cancers using radioimmunotherapy Rhenium-188 Cancer diagnosis and treatment using radioimmunotherapy, bone cancer pain (Re-188) relief, treatment of rheumatoid arthritis, and treatment of prostate cancer Rhodium-105 Cancer radioimmunotherapy (Rh-105) Samarium-145 Ocular cancer treatment (Sm-145) Samarium-153 Cancer radioimmunotherapy and bone cancer pain relief (Sm-153) Scandium-47 Cancer radioimmunotherapy and bone cancer pain relief (Sc-47) Selenium-75 Radiotracer used in brain studies, imaging of adrenal cortex by gamma- (Se-75) scintigraphy, lateral locations of steroid secreting tumors, pancreatic scanning, detection of hyperactive parathyroid glands, measure rate of bile acid loss from the endogenous pool Strontium-85 Bone cancer detection and brain scans (Sr-85) Strontium-89 Bone cancer pain relief, multiple myeloma treatment, and osteoblastic therapy (Sr-89) Technetium-99m See Molybdenum-99 (Mo-99) (Tc-99m) Thorium-228 Parent of Bismuth-212 (Bi-212) which is an alpha emitter used in cancer (Th-228) radioimmunotherapy Thorium-229 Parent of Actinium-225 (Ac-225) and grandparent of Bismuth-213 (Bi-213) (Th-229) which are alpha emitters used in cancer radioimmunotherapy Thulium-170 Gamma source for blood irradiators, energy source for implanted medical (Tm-170) devices Tin-117m Cancer immunotherapy and bone cancer pain relief (Sn-117m) Tungsten-188 Parent for Rhenium-188 (Re-188) which is used for cancer (W-188) diagnostics/treatment, bone cancer pain relief, rheumatoid arthritis treatment, and treatment of blocked arteries (i.e., arteriosclerosis and restenosis) Xenon-127 Neuroimaging of brain disorders, high resolution SPECT studies, pulmonary (Xe-127) function tests, and carebral blood flow studies Ytterbium-175 Cancer radioimmunotherapy (Yb-175) Yttrium-90 Microseeds obtained from irradiating Yttrium-89 (Y-89) for liver cancer (Y-90) treatment Yttrium-91 A gamma-emitting label for Yttrium-90 (Y-90) which is used for cancer (Y-91) radioimmunotherapy (i.e., lymphoma, breast, colon, kidney, lung, ovarian, prostate, pancreatic, and inoperable liver cancers)

By “randomized” or grammatical equivalents as herein applied to nucleic acids and proteins is meant that each nucleic acid and peptide consists of essentially random nucleotides and amino acids, respectively. These random peptides (or nucleic acids, discussed herein) can incorporate any nucleotide or amino acid at any position. The synthetic process can be designed to generate randomized proteins or nucleic acids, to allow the formation of all or most of the possible combinations over the length of the sequence, thus forming a library of randomized candidate bioactive proteinaceous agents.

In one embodiment, a library is “fully randomized,” with no sequence preferences or constants at any position. In another embodiment, the library is a “biased random” library. That is, some positions within the sequence either are held constant, or are selected from a limited number of possibilities. For example, the nucleotides or amino acid residues are randomized within a defined class, e.g., of hydrophobic amino acids, hydrophilic residues, sterically biased (either small or large) residues, towards the creation of nucleic acid binding domains, the creation of cysteines, for cross-linking, prolines for SH-3 domains, serines, threonines, tyrosines or histidines for phosphorylation sites, etc., or to purines, etc.

A “recombinant” DNA or RNA molecule is a DNA or RNA molecule that has been subjected to molecular manipulation in vitro.

Non-limiting examples of small molecules include compounds that bind or interact with 254P1D6B, ligands including hormones, neuropeptides, chemokines, odorants, phospholipids, and functional equivalents thereof that bind and preferably inhibit 254P1D6B protein function. Such non-limiting small molecules preferably have a molecular weight of less than about 10 kDa, more preferably below about 9, about 8, about 7, about 6, about 5 or about 4 kDa. In certain embodiments, small molecules physically associate with, or bind, 254P1D6B protein; are not found in naturally occurring metabolic pathways; and/or are more soluble in aqueous than non-aqueous solutions

“Stringency” of hybridization reactions is readily determinable by one of ordinary skill in the art, and generally is an empirical calculation dependent upon probe length, washing temperature, and salt concentration. In general, longer probes require higher temperatures for proper annealing, while shorter probes need lower temperatures. Hybridization generally depends on the ability of denatured nucleic acid sequences to reanneal when complementary strands are present in an environment below their melting temperature. The higher the degree of desired homology between the probe and hybridizable sequence, the higher the relative temperature that can be used. As a result, it follows that higher relative temperatures would tend to make the reaction conditions more stringent, while lower temperatures less so. For additional details and explanation of stringency of hybridization reactions, see Ausubel et al., Current Protocols in Molecular Biology, Wiley Interscience Publishers, (1995).

“Stringent conditions” or “high stringency conditions”, as defined herein, are identified by, but not limited to, those that: (1) employ low ionic strength and high temperature for washing, for example 0.015 M sodium chloride/0.0015 M sodium citrate/0.1% sodium dodecyl sulfate at 50° C.; (2) employ during hybridization a denaturing agent, such as formamide, for example, 50% (v/v) formamide with 0.1% bovine serum albumin/0.1% Ficoll/0.1% polyvinylpyrrolidone/50 mM sodium phosphate buffer at pH 6.5 with 750 mM sodium chloride, 75 mM sodium citrate at 42° C.; or (3) employ 50% formamide, 5×SSC (0.75 M NaCl, 0.075 M sodium citrate), 50 mM sodium phosphate (pH 6.8), 0.1% sodium pyrophosphate, 5×Denhardt's solution, sonicated salmon sperm DNA (50 μg/ml), 0.1% SDS, and 10% dextran sulfate at 42° C., with washes at 42° C. in 0.2×SSC (sodium chloride/sodium. citrate) and 50% formamide at 55° C., followed by a high-stringency wash consisting of 0.1×SSC containing EDTA at 55° C. “Moderately stringent conditions” are described by, but not limited to, those in Sambrook et al., Molecular Cloning: A Laboratory Manual, New York: Cold Spring Harbor Press, 1989, and include the use of washing solution and hybridization conditions (e.g., temperature, ionic strength and % SDS) less stringent than those described above. An example of moderately stringent conditions is overnight incubation at 37° C. in a solution comprising: 20% formamide, 5×SSC (150 mM NaCl, 15 mM trisodium citrate), 50 mM sodium phosphate (pH 7.6), 5×Denhardt's solution, 10% dextran sulfate, and 20 mg/mL denatured sheared salmon sperm DNA, followed by washing the filters in 1×SSC at about 37-50° C. The skilled artisan will recognize how to adjust the temperature, ionic strength, etc. as necessary to accommodate factors such as probe length and the like.

An HLA “supermotif” is a peptide binding specificity shared by HLA molecules encoded by two or more HLA alleles. Overall phenotypic frequencies of HLA-supertypes in different ethnic populations are set forth in Table IV (F). The non-limiting constituents of various supertypes are as follows:

-   -   A2: A*0201, A*0202, A*0203, A*0204, A*0205, A*0206, A*6802,         A*6901, A*0207     -   A3 A3, A11, A31, A*3301, A*6801, A*0301, A*1101, A*3101     -   B7: B7, B*3501-03, B*51, B*5301, B*5401, B*5501, B*5502, B*5601,         B*6701, B*7801, B*0702, B*5101, B*5602     -   B44: B*3701, B*4402, B*4403, B*60 (B*4001), B61 (B*4006)     -   A1: A*0102, A*2604, A*3601, A*4301, A*8001     -   A24: A*24, A*30, A*2403, A*2404, A*3002, A*3003     -   B27: B*1401-02, B*1503, B*1509, B*1510, B*1518, B*3801-02,         B*3901, B*3902,     -   B*3903-04, B*4801-02, B*7301, B*2701-08     -   B58: B*1516, B*1517, B*5701, B*5702, B58     -   B62: B*4601, B52, B*1501 (B62), B*1502 (B75), B*1513 (B77)

Calculated population coverage afforded by different HLA-supertype combinations are set forth in Table IV (G).

As used herein “to treat” or “therapeutic” and grammatically related terms, refer to any improvement of any consequence of disease, such as prolonged survival, less morbidity, and/or a lessening of side effects which are the byproducts of an alternative therapeutic modality; full eradication of disease is not required.

A “transgenic animal” (e.g., a mouse or rat) is an animal having cells that contain a transgene, which transgene was introduced into the animal or an ancestor of the animal at a prenatal, e.g., an embryonic stage. A “transgene” is a DNA that is integrated into the genome of a cell from which a transgenic animal develops.

As used herein, an HLA or cellular immune response “vaccine” is a composition that contains or encodes one or more peptides of the invention. There are numerous embodiments of such vaccines, such as a cocktail of one or more individual peptides; one or more peptides of the invention comprised by a polyepitopic peptide; or nucleic acids that encode such individual peptides or polypeptides, e.g., a minigene that encodes a polyepitopic peptide. The “one or more peptides” can include any whole unit integer from 1-150 or more, e.g., at least 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 50, 55, 60, 65, 70, 75, 80, 85, 90, 95, 100, 105, 110, 115, 120, 125, 130, 135, 140, 145, or 150 or more peptides of the invention. The peptides or polypeptides can optionally be modified, such as by lipidation, addition of targeting or other sequences. HLA class I peptides of the invention can be admixed with, or linked to, HLA class II peptides, to facilitate activation of both cytotoxic T lymphocytes and helper T lymphocytes. HLA vaccines can also comprise peptide-pulsed antigen presenting cells, e.g., dendritic cells.

The term “variant” refers to a molecule that exhibits a variation from a described type or norm, such as a protein that has one or more different amino acid residues in the corresponding position(s) of a specifically described protein (e.g. the 254P1D6B protein shown in FIG. 2 or FIG. 3. An analog is an example of a variant protein. Splice isoforms and single nucleotides polymorphisms (SNPs) are further examples of variants.

The “254P1D6B-related proteins” of the invention include those specifically identified herein, as well as allelic variants, conservative substitution variants, analogs and homologs that can be isolated/generated and characterized without undue experimentation following the methods outlined herein or readily available in the art. Fusion proteins that combine parts of different 254P1D6B proteins or fragments thereof, as well as fusion proteins of a 254P1D6B protein and a heterologous polypeptide are also included. Such 254P1D6B proteins are collectively referred to as the 254P1D6B-related proteins, the proteins of the invention, or 254P1D6B. The term “254P1D6B-related protein” refers to a polypeptide fragment or a 254P1D6 B protein sequence of 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, or more than 25 amino acids; or, at least 30, 35, 40, 45, 50, 55, 60, 65, 70, 80, 85, 90, 95, 100, 105, 110, 115, 120, 125, 130, 135, 140, 145, 150, 155, 160, 165, 170, 175, 180, 185, 190, 195, 200, 225, 250, 275, 300, 325, 350, 375, 400, 425, 450, 475, 500, 525, 550, 575, or 576 or more amino acids.

II.) 254P1D6B Polynucleotides

One aspect of the invention provides polynucleotides corresponding or complementary to all or part of a 254P1D6B gene, mRNA, and/or coding sequence, preferably in isolated form, including polynucleotides encoding a 254P1D6B-related protein and fragments thereof, DNA, RNA, DNA/RNA hybrid, and related molecules, polynucleotides or oligonucleotides complementary to a 254P1D6B gene or mRNA sequence or a part thereof, and polynucleotides or oligonucleotides that hybridize to a 254P1D6B gene, mRNA, or to a 254P1D6B encoding polynucleotide (collectively, “254P1D6B polynucleotides”). In all instances when referred to in this section, T can also be U in FIG. 2.

Embodiments of a 254P1D6B polynucleotide include: a 254P1D6B polynucleotide having the sequence shown in FIG. 2, the nucleotide sequence of 254P1D6B as shown in FIG. 2 wherein T is U; at least 10 contiguous nucleotides of a polynucleotide having the sequence as shown in FIG. 2; or, at least 10 contiguous nucleotides of a polynucleotide having the sequence as shown in FIG. 2 where T is U. For example, embodiments of 254P1D6B nucleotides comprise, without limitation:

-   -   (I) a polynucleotide comprising, consisting essentially of, or         consisting of a sequence as shown in FIG. 2, wherein T can also         be U;     -   (II) a polynucleotide comprising, consisting essentially of, or         consisting of the sequence as shown in FIG. 2A, from nucleotide         residue number 512 through nucleotide residue number 3730,         including the stop codon, wherein T can also be U;     -   (III) a polynucleotide comprising, consisting essentially of, or         consisting of the sequence as shown in FIG. 2B, from nucleotide         residue number 512 through nucleotide residue number 3730,         including the stop codon, wherein T can also be U;     -   (IV) a polynucleotide comprising, consisting essentially of, or         consisting of the sequence as shown in FIG. 2C, from nucleotide         residue number 739 through nucleotide residue number 3930,         including the a stop codon, wherein T can also be U;     -   (V) a polynucleotide comprising, consisting essentially of, or         consisting of the sequence as shown in FIG. 2D, from nucleotide         residue number 512 through nucleotide residue number 3730,         including the stop codon, wherein T can also be U;     -   (VI) a polynucleotide that encodes a 254P1D6B-related protein         that is at least 90, 91, 92, 93, 94, 95, 96, 97, 98, 99 or 100%         homologous to an entire amino acid sequence shown in FIG. 2A-D;     -   (VII) a polynucleotide that encodes a 254P1D6B-related protein         that is at least 90, 91, 92, 93, 94, 95, 96, 97, 98, 99 or 100%         identical to an entire amino acid sequence shown in FIG. 2A-D;     -   (VIII) a polynucleotide that encodes at least one peptide set         forth in Tables VIII-XXI and XXII-XLIX;     -   (IX) a polynucleotide that encodes a peptide region of at least         5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21,         22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35 amino         acids of a peptide of FIGS. 3A, 3B, 3D, and 3E in any whole         number increment up to 1072 that includes at least 1, 2, 3, 4,         5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21,         22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35 amino         acid position(s) having a value greater than 0.5 in the         Hydrophilicity profile of FIG. 5;     -   (X) a polynucleotide that encodes a peptide region of at least         5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21,         22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35 amino         acids of a peptide of FIGS. 3A, 3B, 3D, and 3E in any whole         number increment up to 1072 that includes 1, 2, 3, 4, 5, 6, 7,         8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23,         24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35 amino acid         position(s) having a value less than 0.5 in the Hydropathicity         profile of FIG. 6;     -   (XI) a polynucleotide that encodes a peptide region of at least         5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21,         22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35 amino         acids of a peptide of FIGS. 3A, 3B, 3D, and 3E in any whole         number increment up to 1072 that includes 1, 2, 3, 4, 5, 6, 7,         8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23,         24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35 amino acid         position(s) having a value greater than 0.5 in the Percent         Accessible Residues profile of FIG. 7;     -   (XII) a polynucleotide that encodes a peptide region of at least         5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21,         22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35 amino         acids of a peptide of FIGS. 3A, 3B, 3D, and 3E in any whole         number increment up to 1072 that includes 1, 2, 3, 4, 5, 6, 7,         8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23,         24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35 amino acid         position(s) having a value greater than 0.5 in the Average         Flexibility profile of FIG. 8;     -   (XIII) a polynucleotide that encodes a peptide region of at         least 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20,         21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35 amino         acids of a peptide of FIGS. 3A, 3B, 3D, and 3E in any whole         number increment up to 1072 that includes 1, 2, 3, 4, 5, 6, 7,         8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23,         24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35 amino acid         position(s) having a value greater than 0.5 in the Beta-turn         profile of FIG. 9;     -   (XIV) a polynucleotide that encodes a peptide region of at least         5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21,         22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35 amino         acids of a peptide of FIG. 3C in any whole number increment up         to 1063 that includes 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13,         14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29,         30, 31, 32, 33, 34, 35 amino acid position(s) having a value         greater than 0.5 in the Hydrophilicity profile of FIG. 5;     -   (XV) a polynucleotide that encodes a peptide region of at least         5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21,         22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35 amino         acids of a peptide of FIG. 3C in any whole number increment up         to 1063 that includes 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13,         14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29,         30, 31, 32, 33, 34, 35 amino acid position(s) having a value         less than 0.5 in the Hydropathicity profile of FIG. 6;     -   (XVI) a polynucleotide that encodes a peptide region of at least         5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21,         22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35 amino         acids of a peptide of FIG. 3C in any whole number increment up         to 1063 that includes 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13,         14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29,         30, 31, 32, 33, 34, 35 amino acid position(s) having a value         greater than 0.5 in the Percent Accessible Residues profile of         FIG. 7;     -   (XVII) a polynucleotide that encodes a peptide region of at         least 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20,         21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35 amino         acids of a peptide of FIG. 3C in any whole number increment up         to 1063 that includes 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13,         14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29,         30, 31, 32, 33, 34, 35 amino acid position(s) having a value         greater than 0.5 in the Average Flexibility profile of FIG. 8;     -   (XVIII) a polynucleotide that encodes a peptide region of at         least 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20,         21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35 amino         acids of a peptide of FIG. 3C in any whole number increment up         to 1063 that includes 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13,         14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29,         30, 31, 32, 33, 34, 35 amino acid position(s) having a value         greater than 0.5 in the Beta-turn profile of FIG. 9;     -   (XIX) a polynucleotide that is fully complementary to a         polynucleotide of any one of (I)-(XVIII);     -   (XX) a polynucleotide that is fully complementary to a         polynucleotide of any one of (I)-(XIX);     -   (XXI) a peptide that is encoded by any of (I) to (XX); and;     -   (XXII) a composition comprising a polynucleotide of any of         (I)-(XX) or peptide of (XXI) together with a pharmaceutical         excipient and/or in a human unit dose form;     -   (XXIII) a method of using a polynucleotide of any (I)-(XX) or         peptide of (XXI) or a composition of (XXII) in a method to         modulate a cell expressing 254P1D6B;     -   (XXIV) a method of using a polynucleotide of any (I)-(XX) or         peptide of (XXI) or a composition of (XXII) in a method to         diagnose, prophylaxis, prognose, or treat an individual who         bears a cell expressing 254P1D6B;     -   (XXV) a method of using a polynucleotide of any (I)-(XX) or         peptide of (XXI) or a composition of (XXII) in a method to         diagnose, prophylax, prognose, or treat an individual who bears         a cell expressing 254P1D6B, said cell from a cancer of a tissue         listed in Table I;     -   (XXVI) a method of using a polynucleotide of any (I)-(XX) or         peptide of (XXI) or a composition of (XXII) in a method to         diagnose, prophylax, prognose, or treat a a cancer;     -   (XXVII) a method of using a polynucleotide of any (I)-(XX) or         peptide of (XXI) or a composition of (XXII) in a method to         diagnose, prophylax, prognose, or treat a a cancer of a tissue         listed in Table I; and;     -   (XXVIII) a method of using a polynucleotide of any (I)-(XX) or         peptide of (XXI) or a composition of (XXII) in a method to         identify or characterize a modulator of a cell expressing         254P1D6B.

As used herein, a range is understood to disclose specifically all whole unit positions thereof.

Typical embodiments of the invention disclosed herein include 254P1D6B polynucleotides that encode specific portions of 254P1D6B mRNA sequences (and those which are complementary to such sequences) such as those that encode the proteins and/or fragments thereof, for example:

(a)4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 30, 35, 40, 45, 50, 55, 60, 65, 70, 75, 80, 85, 90, 95, 100, 105, 110, 115, 120, 125, 130, 135, 140, 145, 150, 155, 160, 165, 170, 175, 180, 185, 190, 195, 200, 225, 250, 275, 300, 325, 350, 375, 400, 425, 450, 475, 500, 525, 550, 575, 600, 625, 650, 675, 700, 725, 750, 775, 800, 825, 850, 875, 900, 925, 950, 975, 1000, 1025, 1050, 1060. 1065, 1070, and 1072 or more contiguous amino acids of 254P1D6B variant 1; the maximal lengths relevant for other variants are: variant 2, 1072 amino acids; variant 3, 1063 amino acids, variant 5, 1072 amino acids, variant 6, 1072 amino acids, and variants 4, 7-20, 1072 amoni acids.

For example, representative embodiments of the invention disclosed herein include: polynucleotides and their encoded peptides themselves encoding about amino acid 1 to about amino acid 10 of the 254P1D6B protein shown in FIG. 2 or FIG. 3, polynucleotides encoding about amino acid 10 to about amino acid 20 of the 254P1D6B protein shown in FIG. 2 or FIG. 3, polynucleotides encoding about amino acid 20 to about amino acid 30 of the 254P1D6B protein shown in FIG. 2 or FIG. 3, polynucleotides encoding about amino acid 30 to about amino acid 40 of the 254P1D6B protein shown in FIG. 2 or FIG. 3, polynucleotides encoding about amino acid 40 to about amino acid 50 of the 254P1D6B protein shown in FIG. 2 or FIG. 3, polynucleotides encoding about amino acid 50 to about amino acid 60 of the 254P1D6B protein shown in FIG. 2 or FIG. 3, polynucleotides encoding about amino acid 60 to about amino acid 70 of the 254P1D6B protein shown in FIG. 2 or FIG. 3, polynucleotides encoding about amino acid 70 to about amino acid 80 of the 254P1D6B protein shown in FIG. 2 or FIG. 3, polynucleotides encoding about amino acid 80 to about amino acid 90 of the 254P1D6B protein shown in FIG. 2 or FIG. 3, polynucleotides encoding about amino acid 90 to about amino acid 100 of the 254P1D6B protein shown in FIG. 2 or FIG. 3, in increments of about 10 amino acids, ending at the carboxyl terminal amino acid set forth in FIG. 2 or FIG. 3. Accordingly, polynucleotides encoding portions of the amino acid sequence (of about 10 amino acids), of amino acids, 100 through the carboxyl terminal amino acid of the 254P1D6B protein are embodiments of the invention. Wherein it is understood that each particular amino acid position discloses that position plus or minus five amino acid residues.

Polynucleotides encoding relatively long portions of a 254P1D6B protein are also within the scope of the invention. For example, polynucleotides encoding from about amino acid 1 (or 20 or 30 or 40 etc.) to about amino acid 20, (or 30, or 40 or 50 etc.) of the 254P1D6B protein “or variant” shown in FIG. 2 or FIG. 3 can be generated by a variety of techniques well known in the art. These polynucleotide fragments can include any portion of the 254P1D6B sequence as shown in FIG. 2.

Additional illustrative embodiments of the invention disclosed herein include 254P1D6B polynucleotide fragments encoding one or more of the biological motifs contained within a 254P1D6B protein “or variant” sequence, including one or more of the motif-bearing subsequences of a 254P1D6B protein “or variant” set forth in Tables VIII-XXI and XXII-XLIX. In another embodiment, typical polynucleotide fragments of the invention encode one or more of the regions of 254P1D6B protein or variant that exhibit homology to a known molecule. In another embodiment of the invention, typical polynucleotide fragments can encode one or more of the 254P1D6B protein or variant N-glycosylation sites, cAMP and cGMP-dependent protein kinase phosphorylation sites, casein kinase II phosphorylation sites or N-myristoylation site and amidation sites.

Note that to determine the starting position of any peptide set forth in Tables VIII-XXI and Tables XXII to XLIX (collectively HLA Peptide Tables) respective to its parental protein, e.g., variant 1, variant 2, etc., reference is made to three factors: the particular variant, the length of the peptide in an HLA Peptide Table, and the Search Peptides listed in Table VII. Generally, a unique Search Peptide is used to obtain HLA peptides for a particular variant. The position of each Search Peptide relative to its respective parent molecule is listed in Table VII. Accordingly, if a Search Peptide begins at position “X”, one must add the value “X minus 1” to each position in Tables VIII-XXI and Tables XXII-IL to obtain the actual position of the HLA peptides in their parental molecule. For example if a particular Search Peptide begins at position 150 of its parental molecule, one must add 150-1, i.e., 149 to each HLA peptide amino acid position to calculate the position of that amino acid in the parent molecule.

II.A.) Uses of 254P1D6B Polynucleotides

II.A.1.) Monitoring of Genetic Abnormalities

The polynucleotides of the preceding paragraphs have a number of different specific uses. The human 254P1D6B gene maps to the chromosomal location set forth in the Example entitled “Chromosomal Mapping of 254P1D6B.” For example, because the 254P1D6B gene maps to this chromosome, polynucleotides that encode different regions of the 254P1D6B proteins are used to characterize cytogenetic abnormalities of this chromosomal locale, such as abnormalities that are identified as being associated with various cancers. In certain genes, a variety of chromosomal abnormalities including rearrangements have been identified as frequent cytogenetic abnormalities in a number of different cancers (see e.g. Krajinovic et al., Mutat. Res. 382(3-4): 81-83 (1998); Johansson et al., Blood 86(10): 3905-3914 (1995) and Finger et al., P.N.A.S. 85(23): 9158-9162 (1988)). Thus, polynucleotides encoding specific regions of the 254P1D6B proteins provide new tools that can be used to delineate, with greater precision than previously possible, cytogenetic abnormalities in the chromosomal region that encodes 254P1D6B that may contribute to the malignant phenotype. In this context, these polynucleotides satisfy a need in the art for expanding the sensitivity of chromosomal screening in order to identify more subtle and less common chromosomal abnormalities (see e.g. Evans et al., Am. J. Obstet. Gynecol 171(4): 1055-1057 (1994)).

Furthermore, as 254P1D6B was shown to be highly expressed in prostate and other cancers, 254P1D6B polynucleotides are used in methods assessing the status of 254P1D6B gene products in normal versus cancerous tissues. Typically, polynucleotides that encode specific regions of the 254P1D6B proteins are used to assess the presence of perturbations (such as deletions, insertions, point mutations, or alterations resulting in a loss of an antigen etc.) in specific regions of the 254P1D6B gene, such as regions containing one or more motifs. Exemplary assays include both RT-PCR assays as well as single-strand conformation polymorphism (SSCP) analysis (see, e.g., Marrogi et al., J. Cutan. Pathol. 26(8): 369-378 (1999), both of which utilize polynucleotides encoding specific regions of a protein to examine these regions within the protein.

II.A.2.) Antisense Embodiments

Other specifically contemplated nucleic acid related embodiments of the invention disclosed herein are genomic DNA, cDNAs, ribozymes, and antisense molecules, as well as nucleic acid molecules based on an alternative backbone, or including alternative bases, whether derived from natural sources or synthesized, and include molecules capable of inhibiting the RNA or protein expression of 254P1D6B. For example, antisense molecules can be RNAs or other molecules, including peptide nucleic acids (PNAs) or non-nucleic acid molecules such as phosphorothioate derivatives that specifically bind DNA or RNA in a base pair-dependent manner. A skilled artisan can readily obtain these classes of nucleic acid molecules using the 254P1D6B polynucleotides and polynucleotide sequences disclosed herein.

Antisense technology entails the administration of exogenous oligonucleotides that bind to a target polynucleotide located within the cells. The term “antisense” refers to the fact that such oligonucleotides are complementary to their intracellular targets, e.g., 254P1D6B. See for example, Jack Cohen, Oligodeoxynucleotides, Antisense Inhibitors of Gene Expression, CRC Press, 1989; and Synthesis 1:1-5 (1988). The 254P1D6B antisense oligonucleotides of the present invention include derivatives such as S-oligonucleotides (phosphorothioate derivatives or S-oligos, see, Jack Cohen, supra), which exhibit enhanced cancer cell growth inhibitory action. S-oligos (nucleoside phosphorothioates) are isoelectronic analogs of an oligonucleotide (O-oligo) in which a nonbridging oxygen atom of the phosphate group is replaced by a sulfur atom. The S-oligos of the present invention can be prepared by treatment of the corresponding O-oligos with 3H-1,2-benzodithiol-3-one-1,1-dioxide, which is a sulfur transfer reagent. See, e.g., Iyer, R. P. et al., J. Org. Chem. 55:4693-4698 (1990); and Tyer, R. P. et al., J. Am. Chem. Soc. 112:1253-1254 (1990). Additional 254P1D6B antisense oligonucleotides of the present invention include morpholino antisense oligonucleotides known in the art (see, e.g., Partridge et al. 1996, Antisense & Nucleic Acid Drug Development 6: 169-175).

The 254P1D6B antisense oligonucleotides of the present invention typically can be RNA or DNA that is complementary to and stably hybridizes with the first 100 5′ codons or last 100 3′ codons of a 254P1D6B genomic sequence or the corresponding mRNA. Absolute complementarity is not required, although high degrees of complementarity are preferred. Use of an oligonucleotide complementary to this region allows for the selective hybridization to 254P1D6B mRNA and not to mRNA specifying other regulatory subunits of protein kinase. In one embodiment, 254P1D6B antisense oligonucleotides of the present invention are 15 to 30-mer fragments of the antisense DNA molecule that have a sequence that hybridizes to 254P1D6B mRNA. Optionally, 254P1D6B antisense oligonucleotide is a 30-mer oligonucleotide that is complementary to a region in the first 10 5′ codons or last 10 3′ codons of 254P1D6B. Alternatively, the antisense molecules are modified to employ ribozymes in the inhibition of 254P1D6B expression, see, e.g., L. A. Couture & D. T. Stinchcomb; Trends Genet 12: 510-515 (1996).

II.A.3.) Primers and Primer Pairs

Further specific embodiments of these nucleotides of the invention include primers and primer pairs, which allow the specific amplification of polynucleotides of the invention or of any specific parts thereof, and probes that selectively or specifically hybridize to nucleic acid molecules of the invention or to any part thereof. Probes can be labeled with a detectable marker, such as, for example, a radioisotope, fluorescent compound, bioluminescent compound, a chemiluminescent compound, metal chelator or enzyme. Such probes and primers are used to detect the presence of a 254P1D6B polynucleotide in a sample and as a means for detecting a cell expressing a 254P1D6B protein.

Examples of such probes include polypeptides comprising all or part of the human 254P1D6B cDNA sequence shown in FIG. 2. Examples of primer pairs capable of specifically amplifying 254P1D6B mRNAs are also described in the Examples. As will be understood by the skilled artisan, a great many different primers and probes can be prepared based on the sequences provided herein and used effectively to amplify and/or detect a 254P1D6B mRNA.

The 254P1D6B polynucleotides of the invention are useful for a variety of purposes, including but not limited to their use as probes and primers for the amplification and/or detection of the 254P1D6B gene(s), mRNA(s), or fragments thereof, as reagents for the diagnosis and/or prognosis of prostate cancer and other cancers; as coding sequences capable of directing the expression of 254P1D6B polypeptides; as tools for modulating or inhibiting the expression of the 254P1D6B gene(s) and/or translation of the 254P1D6B transcript(s); and as therapeutic agents.

The present invention includes the use of any probe as described herein to identify and isolate a 254P1D6B or 254P1D6B related nucleic acid sequence from a naturally occurring source, such as humans or other mammals, as well as the isolated nucleic acid sequence per se, which would comprise all or most of the sequences found in the probe used.

II.A.4.) Isolation of 254P1D6B-Encoding Nucleic Acid Molecules

The 254P1D6B cDNA sequences described herein enable the isolation of other polynucleotides encoding 254P1D6B gene product(s), as well as the isolation of polynucleotides encoding 254P1D6B gene product homologs, alternatively spliced isoforms, allelic variants, and mutant forms of a 254P1D6B gene product as well as polynucleotides that encode analogs of 254P1D6B-related proteins. Various molecular cloning methods that can be employed to isolate full length cDNAs encoding a 254P1D6B gene are well known (see, for example, Sambrook, J. et al., Molecular Cloning: A Laboratory Manual, 2d edition, Cold Spring Harbor Press, New York, 1989; Current Protocols in Molecular Biology. Ausubel et al., Eds., Wiley and Sons, 1995). For example, lambda phage cloning methodologies can be conveniently employed, using commercially available cloning systems (e.g., Lambda ZAP Express, Stratagene). Phage clones containing 254P1D6B gene cDNAs can be identified by probing with a labeled 254P1D6B cDNA or a fragment thereof. For example, in one embodiment, a 254P1D6B cDNA (e.g., FIG. 2) or a portion thereof can be synthesized and used as a probe to retrieve overlapping and full-length cDNAs corresponding to a 254P1D6B gene. A 254P1D6B gene itself can be isolated by screening genomic DNA libraries, bacterial artificial chromosome libraries (BACs), yeast artificial chromosome libraries (YACs), and the like, with 254P1D6B DNA probes or primers.

II.A.5.) Recombinant Nucleic Acid Molecules and Host-Vector Systems

The invention also provides recombinant DNA or RNA molecules containing a 254P1D6B polynucleotide, a fragment, analog or homologue thereof, including but not limited to phages, plasmids, phagemids, cosmids, YACs, BACs, as well as various viral and non-viral vectors well known in the art, and cells transformed or transfected with such recombinant DNA or RNA molecules. Methods for generating such molecules are well known (see, for example, Sambrook et al., 1989, supra).

The invention further provides a host-vector system comprising a recombinant DNA molecule containing a 254P1D6B polynucleotide, fragment, analog or homologue thereof within a suitable prokaryotic or eukaryotic host cell. Examples of suitable eukaryotic host cells include a yeast cell, a plant cell, or an animal cell, such as a mammalian cell or an insect cell (e.g., a baculovirus-infectible cell such as an Sf9 or HighFive cell). Examples of suitable mammalian cells include various prostate cancer cell lines such as DU145 and TsuPr1, other transfectable or transducible prostate cancer cell lines, primary cells (PrEC), as well as a number of mammalian cells routinely used for the expression of recombinant proteins (e.g., COS, CHO, 293, 293T cells). More particularly, a polynucleotide comprising the coding sequence of 254P1D6B or a fragment, analog or homolog thereof can be used to generate 254P1D6B proteins or fragments thereof using any number of host-vector systems routinely used and widely known in the art.

A wide range of host-vector systems suitable for the expression of 254P1D6B proteins or fragments thereof are available, see for example, Sambrook et al., 1989, supra; Current Protocols in Molecular Biology, 1995, supra). Preferred vectors for mammalian expression include but are not limited to pcDNA 3.1 myc-His-tag (Invitrogen) and the retroviral vector pSRαtkneo (Muller et al., 1991, MCB 11:1785). Using these expression vectors, 254P6D6B can be expressed in several prostate cancer and non-prostate cell lines, including for example 293, 293T, rat-1, NIH 3T3 and TsuPr1. The host-vector systems of the invention are useful for the production of a 254P1D6B protein or fragment thereof. Such host-vector systems can be employed to study the functional properties of 254P1D6B and 254P1D6B mutations or analogs.

Recombinant human 254P1D6B protein or an analog or homolog or fragment thereof can be produced by mammalian cells transfected with a construct encoding a 254P1D6B-related nucleotide. For example, 293T cells can be transfected with an expression plasmid encoding 254P1D6B or fragment, analog or homolog thereof, a 254P1D6B-related protein is expressed in the 293T cells, and the recombinant 254P1D6B protein is isolated using standard purification methods (e.g., affinity purification using anti-254P1D6B antibodies). In another embodiment, a 254P1D6B coding sequence is subcloned into the retroviral vector pSRαMSVtkneo and used to infect various mammalian cell lines, such as NIH 3T3, TsuPr1, 293 and rat-1 in order to establish 254P1D6B expressing cell lines. Various other expression systems well known in the art can also be employed. Expression constructs encoding a leader peptide joined in frame to a 254P1D6B coding sequence can be used for the generation of a secreted form of recombinant 254P1D6B protein.

As discussed herein, redundancy in the genetic code permits variation in 254P1D6B gene sequences. In particular, it is known in the art that specific host species often have specific codon preferences, and thus one can adapt the disclosed sequence as preferred for a desired host. For example, preferred analog codon sequences typically have rare codons (i.e., codons having a usage frequency of less than about 20% in known sequences of the desired host) replaced with higher frequency codons. Codon preferences for a specific species are calculated, for example, by utilizing codon usage tables available on the INTERNET such as at URL dna.affrc.gojp/˜nakamura/codon.html.

Additional sequence modifications are known to enhance protein expression in a cellular host. These include elimination of sequences encoding spurious polyadenylation signals, exon/intron splice site signals, transposon-like repeats, and/or other such well-characterized sequences that are deleterious to gene expression. The GC content of the sequence is adjusted to levels average for a given cellular host, as calculated by reference to known genes expressed in the host cell. Where possible, the sequence is modified to avoid predicted hairpin secondary mRNA structures. Other useful modifications include the addition of a translational initiation consensus sequence at the start of the open reading frame, as described in Kozak, Mol. Cell Biol., 9:5073-5080 (1989). Skilled artisans understand that the general rule that eukaryotic ribosomes initiate translation exclusively at the 5′ proximal AUG codon is abrogated only under rare conditions (see, e.g., Kozak PNAS 92(7): 2662-2666, (1995) and Kozak NAR 15(20): 8125-8148 (1987)).

III.) 254P1D6B-related Proteins

Another aspect of the present invention provides 254P1D6B-related proteins. Specific embodiments of 254P1D6B proteins comprise a polypeptide having all or part of the amino acid sequence of human 254P1D6B as shown in FIG. 2 or FIG. 3. Alternatively, embodiments of 254P1D6B proteins comprise variant, homolog or analog polypeptides that have alterations in the amino acid sequence of 254P1D6B shown in FIG. 2 or FIG. 3.

Embodiments of a 254P1D6B polypeptide include: a 254P1D6B polypeptide having a sequence shown in FIG. 2, a peptide sequence of a 254P1D6B as shown in FIG. 2 wherein T is U; at least 10 contiguous nucleotides of a polypeptide having the sequence as shown in FIG. 2; or, at least 10 contiguous peptides of a polypeptide having the sequence as shown in FIG. 2 where T is U. For example, embodiments of 254P1D6B peptides comprise, without limitation:

-   -   (I) a protein comprising, consisting essentially of, or         consisting of an amino acid sequence as shown in FIG. 2A-D or         FIGS. 3A-E;     -   (II) a 254P1D6B-related protein that is at least 90, 91, 92, 93,         94, 95, 96, 97, 98, 99 or 100% homologous to an entire amino         acid sequence shown in FIG. 2A-D or 3A-E;     -   (III) a 254P1D6B-related protein that is at least 90, 91, 92,         93, 94, 95, 96, 97, 98, 99 or 100% identical to an entire amino         acid sequence shown in FIG. 2A-D or 3A-E;     -   (IV) a protein that comprises at least one peptide set forth in         Tables VIII to XLIX, optionally with a proviso that it is not an         entire protein of FIG. 2;     -   (V) a protein that comprises at least one peptide set forth in         Tables VIII-XXI, collectively, which peptide is also set forth         in Tables XXII to XLIX, collectively, optionally with a proviso         that it is not an entire protein of FIG. 2;     -   (VI) a protein that comprises at least two peptides selected         from the peptides set forth in Tables VIII-XLIX, optionally with         a proviso that it is not an entire protein of FIG. 2;     -   (VII) a protein that comprises at least two peptides selected         from the peptides set forth in Tables VIII to XLIX collectively,         with a proviso that the protein is not a contiguous sequence         from an amino acid sequence of FIG. 2;     -   (VIII) a protein that comprises at least one peptide selected         from the peptides set forth in Tables VIII-XXI; and at least one         peptide selected from the peptides set forth in Tables XXII to         XLIX, with a proviso that the protein is not a contiguous         sequence from an amino acid sequence of FIG. 2;     -   (IX) a polypeptide comprising at least 5, 6, 7, 8, 9, 10, 11,         12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27,         28, 29, 30, 31, 32, 33, 34, 35 amino acids of a protein of FIGS.         3A, 3B, 3D, and 3E in any whole number increment up to 1072         respectively that includes at least 1, 2, 3, 4, 5, 6, 7, 8, 9,         10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25,         26, 27, 28, 29, 30, 31, 32, 33, 34, 35 amino acid position(s)         having a value greater than 0.5 in the Hydrophilicity profile of         FIG. 5;     -   (X) a polypeptide comprising at least 5, 6, 7, 8, 9, 10, 11, 12,         13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28,         29, 30, 31, 32, 33, 34, 35 amino acids of a protein of FIGS. 3A,         3B, 3D, and 3E, in any whole number increment up to 1072         respectively that includes at least at least 1, 2, 3, 4, 5, 6,         7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23,         24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35 amino acid         position(s) having a value less than 0.5 in the Hydropathicity         profile of FIG. 6;     -   (XI) a polypeptide comprising at least 5, 6, 7, 8, 9, 10, 11,         12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27,         28, 29, 30, 31, 32, 33, 34, 35 amino acids of a protein of FIGS.         3A, 3B, 3D, and 3E, in any whole number increment up to 1072         respectively that includes at least at least 1, 2, 3, 4, 5, 6,         7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23,         24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35 amino acid         position(s) having a value greater than 0.5 in the Percent         Accessible Residues profile of FIG. 7;     -   (XII) a polypeptide comprising at least 5, 6, 7, 8, 9, 10, 11,         12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27,         28, 29, 30, 31, 32, 33, 34, 35 amino acids of a protein of FIGS.         3A, 3B, 3D, and 3E, in any whole number increment up to 1072         respectively that includes at least at least 1, 2, 3, 4, 5, 6,         7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23,         24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35 amino acid         position(s) having a value greater than 0.5 in the Average         Flexibility profile of FIG. 8;     -   (XIII) a polypeptide comprising at least 5, 6, 7, 8, 9, 10, 11,         12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27,         28, 29, 30, 31, 32, 33, 34, amino acids of a protein of FIGS.         3A, 3B, 3D, and 3E in any whole number increment up to 1072         respectively that includes at least at least 1, 2, 3, 4, 5, 6,         7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23,         24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35 amino acid         position(s) having a value greater than 0.5 in the Beta-turn         profile of FIG. 9;     -   (XIV) a polypeptide comprising at least 5, 6, 7, 8, 9, 10, 11,         12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27,         28, 29, 30, 31, 32, 33, 34, 35 amino acids of a protein of FIG.         3C, in any whole number increment up to 1063 respectively that         includes at least 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14,         15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30,         31, 32, 33, 34, 35 amino acid position(s) having a value greater         than 0.5 in the Hydrophilicity profile of FIG. 5;     -   (XV) a polypeptide comprising at least 5, 6, 7, 8, 9, 10, 11,         12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27,         28, 29, 30, 31, 32, 33, 34, 35 amino acids of a protein of FIG.         3C, in any whole number increment up to 1063 respectively that         includes at least at least 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11,         12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27,         28, 29, 30, 31, 32, 33, 34, 35 amino acid position(s) having a         value less than 0.5 in the Hydropathicity profile of FIG. 6;     -   (XVI) a polypeptide comprising at least 5, 6, 7, 8, 9, 10, 11,         12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27,         28, 29, 30, 31, 32, 33, 34, 35 amino acids of a protein of FIG.         3C, in any whole number increment up to 1063 respectively that         includes at least at least 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11,         12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27,         28, 29, 30, 31, 32, 33, 34, 35 amino acid position(s) having a         value greater than 0.5 in the Percent Accessible Residues         profile of FIG. 7;     -   (XVII) a polypeptide comprising at least 5, 6, 7, 8, 9, 10, 11,         12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27,         28, 29, 30, 31, 32, 33, 34, 35 amino acids of a protein of FIG.         3C, in any whole number increment up to 1063 respectively that         includes at least at least 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11,         12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27,         28, 29, 30, 31, 32, 33, 34, 35 amino acid position(s) having a         value greater than 0.5 in the Average Flexibility profile of         FIG. 8;     -   (XVIII) a polypeptide comprising at least 5, 6, 7, 8, 9, 10, 11,         12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27,         28, 29, 30, 31, 32, 33, 34, amino acids of a protein of FIG. 3C         in any whole number increment up to 1063 respectively that         includes at least at least 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11,         12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27,         28, 29, 30, 31, 32, 33, 34, 35 amino acid position(s) having a         value greater than 0.5 in the Beta-turn profile of FIG. 9;     -   (XIX) a peptide that occurs at least twice in Tables VIII-XXI         and XXII to XLIX, collectively;     -   (XX) a peptide that occurs at least three times in Tables         VIII-XXI and XXII to XLIX, collectively;     -   (XXI) a peptide that occurs at least four times in Tables         VIII-XXI and XXII to XLIX, collectively;     -   (XXII) a peptide that occurs at least five times in Tables         VIII-XXI and XXII to XLIX, collectively;     -   (XXIII) a peptide that occurs at least once in Tables VIII-XXI,         and at least once in tables XXII to XLIX;     -   (XXIV) a peptide that occurs at least once in Tables VIII-XXI,         and at least twice in tables XXII to XLIX;     -   (XXV) a peptide that occurs at least twice in Tables VIII-XXI,         and at least once in tables XXII to XLIX;     -   (XXVI) a peptide that occurs at least twice in Tables VIII-XXI,         and at least twice in tables XXII to XLIX;     -   (XXVII) a peptide which comprises one two, three, four, or five         of the following characteristics, or an oligonucleotide encoding         such peptide:         -   i) a region of at least 5 amino acids of a particular             peptide of FIG. 3, in any whole number increment up to the             full length of that protein in FIG. 3, that includes an             amino acid position having a value equal to or greater than             0.5, 0.6, 0.7, 0.8, 0.9, or having a value equal to 1.0, in             the Hydrophilicity profile of FIG. 5;         -   ii) a region of at least 5 amino acids of a particular             peptide of FIG. 3, in any whole number increment up to the             full length of that protein in FIG. 3, that includes an             amino acid position having a value equal to or less than             0.5, 0.4, 0.3, 0.2, 0.1, or having a value equal to 0.0, in             the Hydropathicity profile of FIG. 6;         -   iii) a region of at least 5 amino acids of a particular             peptide of FIG. 3, in any whole number increment up to the             full length of that protein in FIG. 3, that includes an             amino acid position having a value equal to or greater than             0.5, 0.6, 0.7, 0.8, 0.9, or having a value equal to 1.0, in             the Percent Accessible Residues profile of FIG. 7;         -   iv) a region of at least 5 amino acids of a particular             peptide of FIG. 3, in any whole number increment up to the             full length of that protein in FIG. 3, that includes an             amino acid position having a value equal to or greater than             0.5, 0.6, 0.7, 0.8, 0.9, or having a value equal to 1.0, in             the Average Flexibility profile of FIG. 8; or,         -   v) a region of at least 5 amino acids of a particular             peptide of FIG. 3, in any whole number increment up to the             full length of that protein in FIG. 3, that includes an             amino acid position having a value equal to or greater than             0.5, 0.6, 0.7, 0.8, 0.9, or having a value equal to 1.0, in             the Beta-turn profile of FIG. 9;     -   (XXVIII) a composition comprising a peptide of (I)-(XXVII) or an         antibody or binding region thereof together with a         pharmaceutical excipient and/or in a human unit dose form.     -   (XXIX) a method of using a peptide of (I)-(XXVII), or an         antibody or binding region thereof or a composition of (XXVIII)         in a method to modulate a cell expressing 254P1D6B;     -   (XXX) a method of using a peptide of (I)-(XXVII) or an antibody         or binding region thereof or a composition of (XXVIII) in a         method to diagnose, prophylax, prognose, or treat an individual         who bears a cell expressing 254P1D6B;     -   (XXXI) a method of using a peptide of (I)-(XXVII) or an antibody         or binding region thereof or a composition (XXVIII) in a method         to diagnose, prophylax, prognose, or treat an individual who         bears a cell expressing 254P1D6B, said cell from a cancer of a         tissue listed in Table I;     -   (XXXII) a method of using a peptide of (I)-(XXVII) or an         antibody or binding region thereof or a composition of (XXVIII)         in a method to diagnose, prophylax, prognose, or treat a a         cancer;     -   (XXXIII) a method of using a peptide of (I)-(XXVII) or an         antibody or binding region thereof or a composition of (XXVIII)         in a method to diagnose, prophylax, prognose, or treat a a         cancer of a tissue listed in Table I; and;     -   (XXXIV) a method of using a a peptide of (I)-(XXVII) or an         antibody or binding region thereof or a composition (XXVIII) in         a method to identify or characterize a modulator of a cell         expressing 254P1D6B

As used herein, a range is understood to specifically disclose all whole unit positions thereof.

Typical embodiments of the invention disclosed herein include 254P1D6B polynucleotides that encode specific portions of 254P1D6B mRNA sequences (and those which are complementary to such sequences) such as those that encode the proteins and/or fragments thereof, for example:

(a) 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 30, 35, 40, 45, 50, 55, 60, 65, 70, 75, 80, 85, 90, 95, 100, 105, 110, 115, 120, 125, 130, 135, 140, 145, 150, 155, 160, 165, 170, 175, 180, 185, 190, 195, 200, 225, 250, 275, 300, 325, 350, 375, 400, 425, 450, 475, 500, 525, 550, 575, 600, 625, 650, 675, 700, 725, 750, 775, 800, 825, 850, 875, 900, 925, 950, 975, 1000, 1025, 1050, 1060, 1070 and 1072 or more contiguous amino acids of 254P1D6B variant 1; the maximal lengths relevant for other variants are: variant 2, 1072 amino acids; variant 3, 1063 amino acids, variant 5, 1072 amino acids, variant 6, 1072 amino acids, and variants 4, 7-20, 1072 amino acids.

In general, naturally occurring allelic variants of human 254P1D6B share a high degree of structural identity and homology (e.g., 90% or more homology). Typically, allelic variants of a 254P1D6B protein contain conservative amino acid substitutions within the 254P1D6B sequences described herein or contain a substitution of an amino acid from a corresponding position in a homologue of 254P1D6B. One class of 254P1D6B allelic variants are proteins that share a high degree of homology with at least a small region of a particular 254P1D6B amino acid sequence, but further contain a radical departure from the sequence, such as a non-conservative substitution, truncation, insertion or frame shift. In comparisons of protein sequences, the terms, similarity, identity, and homology each have a distinct meaning as appreciated in the field of genetics. Moreover, orthology and paralogy can be important concepts describing the relationship of members of a given protein family in one organism to the members of the same family in other organisms.

Amino acid abbreviations are provided in Table II. Conservative amino acid substitutions can frequently be made in a protein without altering either the conformation or the function of the protein. Proteins of the invention can comprise 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15 conservative substitutions. Such changes include substituting any of isoleucine (I), valine (V), and leucine (L) for any other of these hydrophobic amino acids; aspartic acid (D) for glutamic acid (E) and vice versa; glutamine (Q) for asparagine (N) and vice versa; and serine (S) for threonine (T) and vice versa. Other substitutions can also be considered conservative, depending on the environment of the particular amino acid and its role in the three-dimensional structure of the protein. For example, glycine (G) and alanine (A) can frequently be interchangeable, as can alanine (A) and valine (V). Methionine (M), which is relatively hydrophobic, can frequently be interchanged with leucine and isoleucine, and sometimes with valine. Lysine (K) and arginine (R) are frequently interchangeable in locations in which the significant feature of the amino acid residue is its charge and the differing pK's of these two amino acid residues are not significant. Still other changes can be considered “conservative” in particular environments (see, e.g. Table III herein; pages 13-15 “Biochemistry” 2^(nd) ED. Lubert Stryer ed (Stanford University); Henikoff et al., PNAS1992 Vol 89 10915-10919; Lei et al., J Biol Chem 1995 May 19; 270(20):11882-6).

Embodiments of the invention disclosed herein include a wide variety of art-accepted variants or analogs of 254P1D6B proteins such as polypeptides having amino acid insertions, deletions and substitutions. 254P1D6B variants can be made using methods known in the art such as site-directed mutagenesis, alanine scanning, and PCR mutagenesis. Site-directed mutagenesis (Carter et al., Nucl. Acids Res., 13:4331 (1986); Zoller et al., Nucl. Acids Res., 10:6487 (1987)), cassette mutagenesis (Wells et al., Gene, 34:315 (1985)), restriction selection mutagenesis (Wells et al., Philos. Trans. R. Soc. London SerA, 317:415 (1986)) or other known techniques can be performed on the cloned DNA to produce the 254P1D6B variant DNA.

Scanning amino acid analysis can also be employed to identify one or more amino acids along a contiguous sequence that is involved in a specific biological activity such as a protein-protein interaction. Among the preferred scanning amino acids are relatively small, neutral amino acids. Such amino acids include alanine, glycine, serine, and cysteine. Alanine is typically a preferred scanning amino acid among this group because it eliminates the side-chain beyond the beta-carbon and is less likely to alter the main-chain conformation of the variant. Alanine is also typically preferred because it is the most common amino acid. Further, it is frequently found in both buried and exposed positions (Creighton, The Proteins, (W.H. Freeman & Co., N.Y.); Chothia, J. Mol. Biol., 150:1 (1976)). If alanine substitution does not yield adequate amounts of variant, an isosteric amino acid can be used.

As defined herein, 254P1D6B variants, analogs or homologs, have the distinguishing attribute of having at least one epitope that is “cross reactive” with a 254P1D6B protein having an amino acid sequence of FIG. 3. As used in this sentence, “cross reactive” means that an antibody or T cell that specifically binds to a 254P1D6B variant also specifically binds to a 254P1D6B protein having an amino acid sequence set forth in FIG. 3. A polypeptide ceases to be a variant of a protein shown in FIG. 3, when it no longer contains any epitope capable of being recognized by an antibody or T cell that specifically binds to the starting 254P1D6B protein. Those skilled in the art understand that antibodies that recognize proteins bind to epitopes of varying size, and a grouping of the order of about four or five amino acids, contiguous or not, is regarded as a typical number of amino acids in a minimal epitope. See, e.g., Nair et al., J. Immunol 2000 165(12): 6949-6955; Hebbes et al., Mol Immunol (1989) 26(9):865-73; Schwartz et al., J Immunol (1985) 135(4):2598-608.

Other classes of 254P1D6B-related protein variants share 70%, 75%, 80%, 85% or 90% or more similarity with an amino acid sequence of FIG. 3, or a fragment thereof. Another specific class of 254P1D6B protein variants or analogs comprises one or more of the 254P1D6B biological motifs described herein or presently known in the art. Thus, encompassed by the present invention are analogs of 254P1D6B fragments (nucleic or amino acid) that have altered functional (e.g. immunogenic) properties relative to the starting fragment. It is to be appreciated that motifs now or which become part of the art are to be applied to the nucleic or amino acid sequences of FIG. 2 or FIG. 3.

As discussed herein, embodiments of the claimed invention include polypeptides containing less than the full amino acid sequence of a 254P1D6B protein shown in FIG. 2 or FIG. 3. For example, representative embodiments of the invention comprise peptides/proteins having any 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15 or more contiguous amino acids of a 254P1D6B protein shown in FIG. 2 or FIG. 3.

Moreover, representative embodiments of the invention disclosed herein include polypeptides consisting of about amino acid 1 to about amino acid 10 of a 254P1D6B protein shown in FIG. 2 or FIG. 3, polypeptides consisting of about amino acid 10 to about amino acid 20 of a 254P1D6B protein shown in FIG. 2 or FIG. 3, polypeptides consisting of about amino acid 20 to about amino acid 30 of a 254P1D6B protein shown in FIG. 2 or FIG. 3, polypeptides consisting of about amino acid 30 to about amino acid 40 of a 254P1D6B protein shown in FIG. 2 or FIG. 3, polypeptides consisting of about amino acid 40 to about amino acid 50 of a 254P1D6B protein shown in FIG. 2 or FIG. 3, polypeptides consisting of about amino acid 50 to about amino acid 60 of a 254P1D6B protein shown in FIG. 2 or FIG. 3, polypeptides consisting of about amino acid 60 to about amino acid 70 of a 254P1D6B protein shown in FIG. 2 or FIG. 3, polypeptides consisting of about amino acid 70 to about amino acid 80 of a 254P1D6B protein shown in FIG. 2 or FIG. 3, polypeptides consisting of about amino acid 80 to about amino acid 90 of a 254P1D6B protein shown in FIG. 2 or FIG. 3, polypeptides consisting of about amino acid 90 to about amino acid 100 of a 254P1D6B protein shown in FIG. 2 or FIG. 3, etc. throughout the entirety of a 254P1D6B amino acid sequence. Moreover, polypeptides consisting of about amino acid 1 (or 20 or 30 or 40 etc.) to about amino acid 20, (or 130, or 140 or 150 etc.) of a 254P1D6B protein shown in FIG. 2 or FIG. 3 are embodiments of the invention. It is to be appreciated that the starting and stopping positions in this paragraph refer to the specified position as well as that position plus or minus 5 residues.

254P1D6B-related proteins are generated using standard peptide synthesis technology or using chemical cleavage methods well known in the art. Alternatively, recombinant methods can be used to generate nucleic acid molecules that encode a 254P1D6B-related protein. In one embodiment, nucleic acid molecules provide a means to generate defined fragments of a 254P1D6B protein (or variants, homologs or analogs thereof).

III.A.) Motif-Bearing Protein Embodiments

Additional illustrative embodiments of the invention disclosed herein include 254P1D6B polypeptides comprising the amino acid residues of one or more of the biological motifs contained within a 254P1D6B polypeptide sequence set forth in FIG. 2 or FIG. 3. Various motifs are known in the art, and a protein can be evaluated for the presence of such motifs by a number of publicly available Internet sites (see, e.g., URL addresses: pfam.wustl.edu/; searchlauncher.bcm.tmc.edu/seq-search/struc-predict.html; psort.ims.u-tokyo.acjp/; cbs.dtu.dk/; ebi.ac.uk/interpro/scan.html; expasy.ch/tools/scnpsit1.html; Epimatrix™ and Epimer™, Brown University, brown.edu/Research/TB-HIV_Lab/epimatrix/epimatrix.html; and BIMAS, bimas.dcrt.nih.gov/.).

Motif bearing subsequences of all 254P1D6B variant proteins are set forth and identified in Tables VIII-XXI and XXII-XLIX.

Table V sets forth several frequently occurring motifs based on pfam searches (see URL address pfam.wustl.edu/). The columns of Table V list (1) motif name abbreviation, (2) percent identity found amongst the different member of the motif family, (3) motif name or description and (4) most common function; location information is included if the motif is relevant for location.

Polypeptides comprising one or more of the 254P1D6B motifs discussed above are useful in elucidating the specific characteristics of a malignant phenotype in view of the observation that the 254P1D6B motifs discussed above are associated with growth dysregulation and because 254P1D6B is overexpressed in certain cancers (See, e.g., Table I). Casein kinase II, cAMP and camp-dependent protein kinase, and Protein Kinase C, for example, are enzymes known to be associated with the development of the malignant phenotype (see e.g. Chen et al., Lab Invest., 78(2): 165-174 (1998); Gaiddon et al., Endocrinology 136(10): 4331-4338 (1995); Hall et al., Nucleic Acids Research 24(6): 1119-1126 (1996); Peterziel et al., Oncogene 18(46): 6322-6329 (1999) and O'Brian, Oncol. Rep. 5(2): 305-309 (1998)). Moreover, both glycosylation and myristoylation are protein modifications also associated with cancer and cancer progression (see e.g. Dennis et al., Biochem. Biophys. Acta 1473(1):21-34 (1999); Raju et al., Exp. Cell Res. 235(1): 145-154 (1997)). Amidation is another protein modification also associated with cancer and cancer progression (see e.g. Treston et al., J. Natl. Cancer Inst. Monogr. (13): 169-175 (1992)).

In another embodiment, proteins of the invention comprise one or more of the immunoreactive epitopes identified in accordance with art-accepted methods, such as the peptides set forth in Tables VIII-XXI and XXII-XLIX. CTL epitopes can be determined using specific algorithms to identify peptides within a 254P1D6B protein that are capable of optimally binding to specified HLA alleles (e.g., Table IV; Epimatrix™ and Epimer™, Brown University, URL brown.edu/Research/TB-HIV_Lab/epimatrix/epimatrix.html; and BIMAS, URL bimas.dcrt.nih.gov/.) Moreover, processes for identifying peptides that have sufficient binding affinity for HLA molecules and which are correlated with being immunogenic epitopes, are well known in the art, and are carried out without undue experimentation. In addition, processes for identifying peptides that are immunogenic epitopes, are well known in the art, and are carried out without undue experimentation either in vitro or in vivo.

Also known in the art are principles for creating analogs of such epitopes in order to modulate immunogenicity. For example, one begins with an epitope that bears a CTL or HTL motif (see, e.g., the HLA Class I and HLA Class II motifs/supermotifs of Table IV). The epitope is analoged by substituting out an amino acid at one of the specified positions, and replacing it with another amino acid specified for that position. For example, on the basis of residues defined in Table IV, one can substitute out a deleterious residue in favor of any other residue, such as a preferred residue; substitute a less-preferred residue with a preferred residue; or substitute an originally-occurring preferred residue with another preferred residue. Substitutions can occur at primary anchor positions or at other positions in a peptide; see, e.g., Table IV.

A variety of references reflect the art regarding the identification and generation of epitopes in a protein of interest as well as analogs thereof. See, for example, WO 97/33602 to Chesnut et al.; Sette, Immunogenetics 1999 50(3-4): 201-212; Sette et al., J. Immunol. 2001 166(2): 1389-1397; Sidney et al., Hum. Immunol. 1997 58(1): 12-20; Kondo et al., Immunogenetics 1997 45(4): 249-258; Sidney et al., J. Immunol. 1996 157(8): 3480-90; and Falk et al., Nature 351: 290-6 (1991); Hunt et al., Science 255:1261-3 (1992); Parker et al., J. Immunol. 149:3580-7 (1992); Parker et al., J. Immunol. 152:163-75 (1994)); Kast et al., 1994 152(8): 3904-12; Borras-Cuesta et al., Hum. Immunol. 2000 61(3): 266-278; Alexander et al., J. Immunol. 2000 164(3); 164(3): 1625-1633; Alexander et al., PMID: 7895164, UI: 95202582; O'Sullivan et al., J. Immunol. 1991 147(8): 2663-2669; Alexander et al., Immunity 1994 1(9): 751-761 and Alexander et al., Immunol. Res. 1998 18(2): 79-92.

Related embodiments of the invention include polypeptides comprising combinations of the different motifs set forth in Table VI, and/or, one or more of the predicted CTL epitopes of Tables VIII-XXI and XXII-XLIX, and/or, one or more of the predicted HTL epitopes of Tables XLVI-XLIX, and/or, one or more of the T cell binding motifs known in the art. Preferred embodiments contain no insertions, deletions or substitutions either within the motifs or within the intervening sequences of the polypeptides. In addition, embodiments which include a number of either N-terminal and/or C-terminal amino acid residues on either side of these motifs may be desirable (to, for example, include a greater portion of the polypeptide architecture in which the motif is located). Typically, the number of N-terminal and/or C-terminal amino acid residues on either side of a motif is between about 1 to about 100 amino acid residues, preferably 5 to about 50 amino acid residues.

254P1D6B-related proteins are embodied in many forms, preferably in isolated form. A purified 254P1D6B protein molecule will be substantially free of other proteins or molecules that impair the binding of 254P1D6B to antibody, T cell or other ligand. The nature and degree of isolation and purification will depend on the intended use. Embodiments of a 254P1D6B-related proteins include purified 254P1D6B-related proteins and functional, soluble 254P1D6B-related proteins. In one embodiment, a functional, soluble 254P1D6B protein or fragment thereof retains the ability to be bound by antibody, T cell or other ligand.

The invention also provides 254P1D6B proteins comprising biologically active fragments of a 254P1D6B amino acid sequence shown in FIG. 2 or FIG. 3. Such proteins exhibit properties of the starting 254P1D6B protein, such as the ability to elicit the generation of antibodies that specifically bind an epitope associated with the starting 254P1D6B protein; to be bound by such antibodies; to elicit the activation of HTL or CTL; and/or, to be recognized by HTL or CTL that also specifically bind to the starting protein.

254P1D6B-related polypeptides that contain particularly interesting structures can be predicted and/or identified using various analytical techniques well known in the art, including, for example, the methods of Chou-Fasman, Garnier-Robson, Kyte-Doolittle, Eisenberg, Karplus-Schultz or Jameson-Wolf analysis, or based on immunogenicity. Fragments that contain such structures are particularly useful in generating subunit-specific anti-254P1D6B antibodies or T cells or in identifying cellular factors that bind to 254P1D6B. For example, hydrophilicity profiles can be generated, and immunogenic peptide fragments identified, using the method of Hopp, T. P. and Woods, K. R., 1981, Proc. Natl. Acad. Sci. U.S.A. 78:3824-3828. Hydropathicity profiles can be generated, and immunogenic peptide fragments identified, using the method of Kyte, J. and Doolittle, R. F., 1982, J. Mol. Biol. 157:105-132. Percent (%) Accessible Residues profiles can be generated, and immunogenic peptide fragments identified, using the method of Janin J., 1979, Nature 277:491-492. Average Flexibility profiles can be generated, and immunogenic peptide fragments identified, using the method of Bhaskaran R., Ponnuswamy P. K., 1988, Int. J. Pept. Protein Res. 32:242-255. Beta-turn profiles can be generated, and immunogenic peptide fragments identified, using the method of Deleage, G., Roux B., 1987, Protein Engineering 1:289-294.

CTL epitopes can be determined using specific algorithms to identify peptides within a 254P1D6B protein that are capable of optimally binding to specified HLA alleles (e.g., by using the SYFPEITHI site at World Wide Web URL syfpeithi.bmi-heidelberg.com/; the listings in Table IV(A)-(E); Epimatrix™ and Epimer™, Brown University, URL (brown.edu/Research/TB-HIV_Lab/epimatrix/epimatrix.html); and BIMAS, URL bimas.dcrt.nih.gov/). Illustrating this, peptide epitopes from 254P1D6B that are presented in the context of human MHC Class I molecules, e.g., HLA-A1, A2, A3, A11, A24, B7 and B35 were predicted (see, e.g., Tables VIII-XXI, XXII-XLIX). Specifically, the complete amino acid sequence of the 254P1D6B protein and relevant portions of other variants, i.e., for HLA Class I predictions 9 flanking residues on either side of a point mutation or exon junction, and for HLA Class II predictions 14 flanking residues on either side of a point mutation or exon junction corresponding to that variant, were entered into the HLA Peptide Motif Search algorithm found in the Bioinformatics and Molecular Analysis Section (BIMAS) web site listed above; in addition to the site SYFPEITHI, at URL syfpeithi.bmi-heidelberg.com/.

The HLA peptide motif search algorithm was developed by Dr. Ken Parker based on binding of specific peptide sequences in the groove of HLA Class 1 molecules, in particular HLA-A2 (see, e.g., Falk et al., Nature 351: 290-6 (1991); Hunt et al., Science 255:1261-3 (1992); Parker et al., J. Immunol. 149:3580-7 (1992); Parker et al., J. Immunol. 152:163-75 (1994)). This algorithm allows location and ranking of 8-mer, 9-mer, and 10-mer peptides from a complete protein sequence for predicted binding to HLA-A2 as well as numerous other HLA Class I molecules. Many HLA class I binding peptides are 8-, 9-, 10 or 11-mers. For example, for Class I HLA-A2, the epitopes preferably contain a leucine (L) or methionine (M) at position 2 and a valine (V) or leucine (L) at the C-terminus (see, e.g., Parker et al., J. Immunol. 149:3580-7 (1992)). Selected results of 254P1D6B predicted binding peptides are shown in Tables VIII-XXI and XXII-XLIX herein. In Tables VIII-XXI and XXII-XLVII, selected candidates, 9-mers and 10-mers, for each family member are shown along with their location, the amino acid sequence of each specific peptide, and an estimated binding score. In Tables XLVI-XLIX, selected candidates, 15-mers, for each family member are shown along with their location, the amino acid sequence of each specific peptide, and an estimated binding score. The binding score corresponds to the estimated half time of dissociation of complexes containing the peptide at 37° C. at pH 6.5. Peptides with the highest binding score are predicted to be the most tightly bound to HLA Class I on the cell surface for the greatest period of time and thus represent the best immunogenic targets for T-cell recognition.

Actual binding of peptides to an HLA allele can be evaluated by stabilization of HLA expression on the antigen-processing defective cell line T2 (see, e.g., Xue et al., Prostate 30:73-8 (1997) and Peshwa et al. Prostate 36:129-38 (1998)). Immunogenicity of specific peptides can be evaluated in vitro by stimulation of CD8+ cytotoxic T lymphocytes (CTL) in the presence of antigen presenting cells such as dendritic cells.

It is to be appreciated that every epitope predicted by the BIMAS site, Epimer™ and Epimatrix™ sites, or specified by the HLA class I or class II motifs available in the art or which become part of the art such as set forth in Table IV (or determined using World Wide Web site URL syfpeithi.bmi-heidelberg.com/, or BIMAS, bimas.dcrt.nih.gov/) are to be “applied” to a 254P1D6B protein in accordance with the invention. As used in this context “applied” means that a 254P1D6B protein is evaluated, e.g., visually or by computer-based patterns finding methods, as appreciated by those of skill in the relevant art. Every subsequence of a 254P1D6B protein of 8, 9, 10, or 11 amino acid residues that bears an HLA Class I motif, or a subsequence of 9 or more amino acid residues that bear an HLA Class II motif are within the scope of the invention.

III.B.) Expression of 254P1D6B-Related Proteins

In an embodiment described in the examples that follow, 254P1D6B can be conveniently expressed in cells (such as 293T cells) transfected with a commercially available expression vector such as a CMV-driven expression vector encoding 254P1D6B with a C-terminal 6×His and MYC tag (pcDNA3.1/mycHIS, Invitrogen or Tag5, GenHunter Corporation, Nashville Tenn.). The Tag5 vector provides an IgGK secretion signal that can be used to facilitate the production of a secreted 254P1D6B protein in transfected cells. The secreted HIS-tagged 254P1D6B in the culture media can be purified, e.g., using a nickel column using standard techniques.

III.C.) Modifications of 254P1D6B-Related Proteins

Modifications of 254P1D6B-related proteins such as covalent modifications are included within the scope of this invention. One type of covalent modification includes reacting targeted amino acid residues of a 254P1D6B polypeptide with an organic derivatizing agent that is capable of reacting with selected side chains or the N- or C-terminal residues of a 254P1D6B protein. Another type of covalent modification of a 254P1D6B polypeptide included within the scope of this invention comprises altering the native glycosylation pattern of a protein of the invention. Another type of covalent modification of 254P1D6B comprises linking a 254P1D6B polypeptide to one of a variety of nonproteinaceous polymers, e.g., polyethylene glycol (PEG), polypropylene glycol, or polyoxyalkylenes, in the manner set forth in U.S. Pat. No. 4,640,835; 4,496,689; 4,301,144; 4,670,417; 4,791,192 or 4,179,337.

The 254P1D6B-related proteins of the present invention can also be modified to form a chimeric molecule comprising 254P1D6B fused to another, heterologous polypeptide or amino acid sequence. Such a chimeric molecule can be synthesized chemically or recombinantly. A chimeric molecule can have a protein of the invention fused to another tumor-associated antigen or fragment thereof. Alternatively, a protein in accordance with the invention can comprise a fusion of fragments of a 254P1D6B sequence (amino or nucleic acid) such that a molecule is created that is not, through its length, directly homologous to the amino or nucleic acid sequences shown in FIG. 2 or FIG. 3. Such a chimeric molecule can comprise multiples of the same subsequence of 254P1D6B. A chimeric molecule can comprise a fusion of a 254P1D6B-related protein with a polyhistidine epitope tag, which provides an epitope to which immobilized nickel can selectively bind, with cytokines or with growth factors. The epitope tag is generally placed at the amino- or carboxyl-terminus of a 254P1D6B protein. In an alternative embodiment, the chimeric molecule can comprise a fusion of a 254P1D6B-related protein with an immunoglobulin or a particular region of an immunoglobulin. For a bivalent form of the chimeric molecule (also referred to as an “immunoadhesin”), such a fusion could be to the Fc region of an IgG molecule. The Ig fusions preferably include the substitution of a soluble (transmembrane domain deleted or inactivated) form of a 254P1D6B polypeptide in place of at least one variable region within an Ig molecule. In a preferred embodiment, the immunoglobulin fusion includes the hinge, CH2 and CH3, or the hinge, CHI, CH2 and CH3 regions of an IgGI molecule. For the production of immunoglobulin fusions see, e.g., U.S. Pat. No. 5,428,130 issued Jun. 27, 1995.

III.D.) Uses of 254P1D6B-Related Proteins

The proteins of the invention have a number of different specific uses. As 254P1D6B is highly expressed in prostate and other cancers, 254P1D6B-related proteins are used in methods that assess the status of 254P1D6B gene products in normal versus cancerous tissues, thereby elucidating the malignant phenotype. Typically, polypeptides from specific regions of a 254P1D6B protein are used to assess the presence of perturbations (such as deletions, insertions, point mutations etc.) in those regions (such as regions containing one or more motifs). Exemplary assays utilize antibodies or T cells targeting 254P1D6B-related proteins comprising the amino acid residues of one or more of the biological motifs contained within a 254P1D6B polypeptide sequence in order to evaluate the characteristics of this region in normal versus cancerous tissues or to elicit an immune response to the epitope. Alternatively, 254P1D6B-related proteins that contain the amino acid residues of one or more of the biological motifs in a 254P1D6B protein are used to screen for factors that interact with that region of 254P1D6B.

254P1D6B protein fragments/subsequences are particularly useful in generating and characterizing domain-specific antibodies (e.g., antibodies recognizing an extracellular or intracellular epitope of a 254P1D6B protein), for identifying agents or cellular factors that bind to 254P1D6B or a particular structural domain thereof, and in various therapeutic and diagnostic contexts, including but not limited to diagnostic assays, cancer vaccines and methods of preparing such vaccines.

Proteins encoded by the 254P1D6B genes, or by analogs, homologs or fragments thereof, have a variety of uses, including but not limited to generating antibodies and in methods for identifying ligands and other agents and cellular constituents that bind to a 254P1D6B gene product. Antibodies raised against a 254P1D6B protein or fragment thereof are useful in diagnostic and prognostic assays, and imaging methodologies in the management of human cancers characterized by expression of 254P1D6B protein, such as those listed in Table I. Such antibodies can be expressed intracellularly and used in methods of treating patients with such cancers. 254P1D6B-related nucleic acids or proteins are also used in generating HTL or CTL responses.

Various immunological assays useful for the detection of 254P1D6B proteins are used, including but not limited to various types of radioimmunoassays, enzyme-linked immunosorbent assays (ELISA), enzyme-linked immunofluorescent assays (ELIFA), immunocytochemical methods, and the like. Antibodies can be labeled and used as immunological imaging reagents capable of detecting 254P1D6B-expressing cells (e.g., in radioscintigraphic imaging methods). 254P1D6B proteins are also particularly useful in generating cancer vaccines, as further described herein.

IV.) 254P1D6B Antibodies

Another aspect of the invention provides antibodies that bind to 254P1D6B-related proteins. Preferred antibodies specifically bind to a 254P1D6B-related protein and do not bind (or bind weakly) to peptides or proteins that are not 254P1D6B-related proteins under physiological conditions. In this context, examples of physiological conditions include: 1) phosphate buffered saline; 2) Tris-buffered saline containing 25 mM Tris and 150 mM NaCl; or normal saline (0.9% NaCl); 4) animal serum such as human serum; or, 5) a combination of any of 1) through 4); these reactions preferably taking place at pH 7.5, alternatively in a range of pH 7.0 to 8.0, or alternatively in a range of pH 6.5 to 8.5; also, these reactions taking place at a temperature between 4° C. to 37° C. For example, antibodies that bind 254P1D6B can bind 254P1D6B-related proteins such as the homologs or analogs thereof.

254P1D6B antibodies of the invention are particularly useful in cancer (see, e.g., Table I) diagnostic and prognostic assays, and imaging methodologies. Similarly, such antibodies are useful in the treatment, diagnosis, and/or prognosis of other cancers, to the extent 254P1D6B is also expressed or overexpressed in these other cancers. Moreover, intracellularly expressed antibodies (e.g., single chain antibodies) are therapeutically useful in treating cancers in which the expression of 254P1D6B is involved, such as advanced or metastatic prostate cancers.

The invention also provides various immunological assays useful for the detection and quantification of 254P1D6B and mutant 254P1D6B-related proteins. Such assays can comprise one or more 254P1D6B antibodies capable of recognizing and binding a 254P1D6B-related protein, as appropriate. These assays are performed within various immunological assay formats well known in the art, including but not limited to various types of radioimmunoassays, enzyme-linked immunosorbent assays (ELISA), enzyme-linked immunofluorescent assays (ELIFA), and the like.

Immunological non-antibody assays of the invention also comprise T cell immunogenicity assays (inhibitory or stimulatory) as well as major histocompatibility complex (MHC) binding assays.

In addition, immunological imaging methods capable of detecting prostate cancer and other cancers expressing 254P1D6B are also provided by the invention, including but not limited to radioscintigraphic imaging methods using labeled 254P1D6B antibodies. Such assays are clinically useful in the detection, monitoring, and prognosis of 254P1D6B expressing cancers such as prostate cancer.

254P1D6B antibodies are also used in methods for purifying a 254P1D6B-related protein and for isolating 254P1D6B homologues and related molecules. For example, a method of purifying a 254P1D6B-related protein comprises incubating a 254P1D6B antibody, which has been coupled to a solid matrix, with a lysate or other solution containing a 254P1D6B-related protein under conditions that permit the 254P1D6B antibody to bind to the 254P1D6B-related protein; washing the solid matrix to eliminate impurities; and eluting the 254P1D6B-related protein from the coupled antibody. Other uses of 254P1D6B antibodies in accordance with the invention include generating anti-idiotypic antibodies that mimic a 254P1D6B protein.

Various methods for the preparation of antibodies are well known in the art. For example, antibodies can be prepared by immunizing a suitable mammalian host using a 254P1D6B-related protein, peptide, or fragment, in isolated or immunoconjugated form (Antibodies: A Laboratory Manual, CSH Press, Eds., Harlow, and Lane (1988); Harlow, Antibodies, Cold Spring Harbor Press, NY (1989)). In addition, fusion proteins of 254P1D6B can also be used, such as a 254P1D6B GST-fusion protein. In a particular embodiment, a GST fusion protein comprising all or most of the amino acid sequence of FIG. 2 or FIG. 3 is produced, then used as an immunogen to generate appropriate antibodies. In another embodiment, a 254P1D6B-related protein is synthesized and used as an immunogen.

In addition, naked DNA immunization techniques known in the art are used (with or without purified 254P1D6B-related protein or 254P1D6B expressing cells) to generate an immune response to the encoded immunogen (for review, see Donnelly et al. 1997, Ann. Rev. Immunol. 15: 617-648).

The amino acid sequence of a 254P1D6B protein as shown in FIG. 2 or FIG. 3 can be analyzed to select specific regions of the 254P1D6B protein for generating antibodies. For example, hydrophobicity and hydrophilicity analyses of a 254P1D6B amino acid sequence are used to identify hydrophilic regions in the 254P1D6B structure. Regions of a 254P1D6B protein that show immunogenic structure, as well as other regions and domains, can readily be identified using various other methods known in the art, such as Chou-Fasman, Garnier-Robson, Kyte-Doolittle, Eisenberg, Karplus-Schultz or Jameson-Wolf analysis. Hydrophilicity profiles can be generated using the method of Hopp, T. P. and Woods, K. R., 1981, Proc. Natl. Acad. Sci. U.S.A. 78:3824-3828. Hydropathicity profiles can be generated using the method of Kyte, J. and Doolittle, R. F., 1982, J. Mol. Biol. 157:105-132. Percent (%) Accessible Residues profiles can be generated using the method of Janin J., 1979, Nature 277:491-492. Average Flexibility profiles can be generated using the method of Bhaskaran R., Ponnuswamy P. K., 1988, Int. J. Pept. Protein Res. 32:242-255. Beta-turn profiles can be generated using the method of Deleage, G., Roux B., 1987, Protein Engineering 1:289-294. Thus, each region identified by any of these programs or methods is within the scope of the present invention. Methods for the generation of 254P1D6B antibodies are further illustrated by way of the examples provided herein. Methods for preparing a protein or polypeptide for use as an immunogen are well known in the art. Also well known in the art are methods for preparing immunogenic conjugates of a protein with a carrier, such as BSA, KLH or other carrier protein. In some circumstances, direct conjugation using, for example, carbodiimide reagents are used; in other instances linking reagents such as those supplied by Pierce Chemical Co., Rockford, Ill., are effective. Administration of a 254P1D6B immunogen is often conducted by injection over a suitable time period and with use of a suitable adjuvant, as is understood in the art. During the immunization schedule, titers of antibodies can be taken to determine adequacy of antibody formation.

254P1D6B monoclonal antibodies can be produced by various means well known in the art. For example, immortalized cell lines that secrete a desired monoclonal antibody are prepared using the standard hybridoma technology of Kohler and Milstein or modifications that immortalize antibody-producing B cells, as is generally known. Immortalized cell lines that secrete the desired antibodies are screened by immunoassay in which the antigen is a 254P1D6B-related protein. When the appropriate immortalized cell culture is identified, the cells can be expanded and antibodies produced either from in vitro cultures or from ascites fluid.

The antibodies or fragments of the invention can also be produced, by recombinant means. Regions that bind specifically to the desired regions of a 254P1D6B protein can also be produced in the context of chimeric or complementarity-determining region (CDR) grafted antibodies of multiple species origin. Humanized or human 254P1D6B antibodies can also be produced, and are preferred for use in therapeutic contexts. Methods for humanizing murine and other non-human antibodies, by substituting one or more of the non-human antibody CDRs for corresponding human antibody sequences, are well known (see for example, Jones et al., 1986, Nature 321: 522-525; Riechmann et al., 1988, Nature 332: 323-327; Verhoeyen et al., 1988, Science 239: 1534-1536). See also, Carter et al., 1993, Proc. Natl. Acad. Sci. USA 89: 4285 and Sims et al., 1993, J. Immunol. 151: 2296.

Methods for producing fully human monoclonal antibodies include phage display and transgenic methods (for review, see Vaughan et al., 1998, Nature Biotechnology 16: 535-539). Fully human 254P1D6B monoclonal antibodies can be generated using cloning technologies employing large human Ig gene combinatorial libraries (i.e., phage display) (Griffiths and Hoogenboom, Building an in vitro immune system: human antibodies from phage display libraries. In: Protein Engineering of Antibody Molecules for Prophylactic and Therapeutic Applications in Man, Clark, M. (Ed.), Nottingham Academic, pp 45-64 (1993); Burton and Barbas, Human Antibodies from combinatorial libraries. Id., pp 65-82). Fully human 254P1D6B monoclonal antibodies can also be produced using transgenic mice engineered to contain human immunoglobulin gene loci as described in PCT Patent Application WO98/24893, Kucherlapati and Jakobovits et al., published Dec. 3, 1997 (see also, Jakobovits, 1998, Exp. Opin. Invest. Drugs 7(4): 607-614; U.S. Pat. Nos. 6,162,963 issued 19 Dec. 2000; 6,150,584 issued 12 Nov. 2000; and, 6,114,598 issued 5 Sep. 2000). This method avoids the in vitro manipulation required with phage display technology and efficiently produces high affinity authentic human antibodies.

Reactivity of 254P1D6B antibodies with a 254P1D6B-related protein can be established by a number of well known means, including Western blot, immunoprecipitation, ELISA, and FACS analyses using, as appropriate, 254P1D6B-related proteins, 254P1D6B-expressing cells or extracts thereof A 254P1D6B antibody or fragment thereof can be labeled with a detectable marker or conjugated to a second molecule. Suitable detectable markers include, but are not limited to, a radioisotope, a fluorescent compound, a bioluminescent compound, chemiluminescent compound, a metal chelator or an enzyme. Further, bi-specific antibodies specific for two or more 254P1D6B epitopes are generated using methods generally known in the art. Homodimeric antibodies can also be generated by cross-linking techniques known in the art (e.g., Wolff et al., Cancer Res. 53: 2560-2565).

V.) 254P1D6B Cellular Immune Responses

The mechanism by which T cells recognize antigens has been delineated. Efficacious peptide epitope vaccine compositions of the invention induce a therapeutic or prophylactic immune responses in very broad segments of the world-wide population. For an understanding of the value and efficacy of compositions of the invention that induce cellular immune responses, a brief review of immunology-related technology is provided.

A complex of an HLA molecule and a peptidic antigen acts as the ligand recognized by HLA-restricted T cells (Buus, S. et al. Cell 47:1071, 1986; Babbitt, B. P. et al., Nature 317:359, 1985; Townsend, A. and Bodmer, H., Annu. Rev. Immunol. 7:601, 1989; Germain, R. N., Annu. Rev. Immunol. 11:403, 1993). Through the study of single amino acid substituted antigen analogs and the sequencing of endogenously bound, naturally processed peptides, critical residues that correspond to motifs required for specific binding to HLA antigen molecules have been identified and are set forth in Table IV (see also, e.g., Southwood, et al., J. Immunol. 160:3363, 1998; Rammensee, et al., Immunogenetics 41:178, 1995; Rammensee et al., SYFPEITHI, access via World Wide Web at URL (134.2.96.221/scripts.hlaserver.dll/home.htm); Sette, A. and Sidney, J. Curr. Opin. Immunol. 10:478, 1998; Engelhard, V. H., Curr. Opin. Immunol. 6:13, 1994; Sette, A. and Grey, H. M., Curr. Opin. Immunol. 4:79, 1992; Sinigaglia, F. and Hammer, J. Curr. Biol. 6:52, 1994; Ruppert et al., Cell 74:929-937, 1993; Kondo et al., J. Immunol. 155:4307-4312, 1995; Sidney et al., J. Immunol. 157:3480-3490, 1996; Sidney et al., Human Immunol. 45:79-93, 1996; Sette, A. and Sidney, J. Immunogenetics 1999 November; 50(3-4):201-12, Review).

Furthermore, x-ray crystallographic analyses of HLA-peptide complexes have revealed pockets within the peptide binding cleft/groove of HLA molecules which accommodate, in an allele-specific mode, residues borne by peptide ligands; these residues in turn determine the HLA binding capacity of the peptides in which they are present. (See, e.g., Madden, D. R. Annu. Rev. Immunol. 13:587, 1995; Smith, et al. Immunity 4:203, 1996; Fremont et al., Immunity 8:305, 1998; Stern et al., Structure 2:245, 1994; Jones, E. Y. Curr. Opin. Immunol. 9:75, 1997; Brown, J. H. et al., Nature 364:33, 1993; Guo, H. C. et al., Proc. Natl. Acad. Sci. USA 90:8053, 1993; Guo, H. C. et al., Nature 360:364, 1992; Silver, M. L. et al., Nature 360:367, 1992; Matsumura, M. et al., Science 257:927, 1992; Madden et al., Cell 70:1035, 1992; Fremont, D. H. et al., Science 257:919, 1992; Saper, M. A., Bjorkman, P. J. and Wiley, D.C., J. Mol. Biol. 219:277, 1991.)

Accordingly, the definition of class I and class II allele-specific HLA binding motifs, or class I or class II supermotifs allows identification of regions within a protein that are correlated with binding to particular HLA antigen(s).

Thus, by a process of HLA motif identification, candidates for epitope-based vaccines have been identified; such candidates can be further evaluated by HLA-peptide binding assays to determine binding affinity and/or the time period of association of the epitope and its corresponding HLA molecule. Additional confirmatory work can be performed to select, amongst these vaccine candidates, epitopes with preferred characteristics in terms of population coverage, and/or immunogenicity.

Various strategies can be utilized to evaluate cellular immunogenicity, including:

1) Evaluation of primary T cell cultures from normal individuals (see, e.g., Wentworth, P. A. et al., Mol. Immunol. 32:603, 1995; Celis, E. et al., Proc. Natl. Acad. Sci. USA 91:2105, 1994; Tsai, V. et al., J. Immunol. 158:1796, 1997; Kawashima, I. et al., Human Immunol. 59:1, 1998). This procedure involves the stimulation of peripheral blood lymphocytes (PBL) from normal subjects with a test peptide in the presence of antigen presenting cells in vitro over a period of several weeks. T cells specific for the peptide become activated during this time and are detected using, e.g., a lymphokine- or ⁵¹Cr-release assay involving peptide sensitized target cells.

2) Immunization of HLA transgenic mice (see, e.g., Wentworth, P. A. et al., J. Immunol. 26:97, 1996; Wentworth, P. A. et al., Int. Immunol. 8:651, 1996; Alexander, J. et al., J. Immunol. 159:4753, 1997). For example, in such methods peptides in incomplete Freund's adjuvant are administered subcutaneously to HLA transgenic mice. Several weeks following immunization, splenocytes are removed and cultured in vitro in the presence of test peptide for approximately one week. Peptide-specific T cells are detected using, e.g., a ⁵¹Cr-release assay involving peptide sensitized target cells and target cells expressing endogenously generated antigen.

3) Demonstration of recall T cell responses from immune individuals who have been either effectively vaccinated and/or from chronically ill patients (see, e.g., Rehermann, B. et al., J. Exp. Med. 181:1047, 1995; Doolan, D. L. et al., Immunity 7:97, 1997; Bertoni, R. et al., J. Clin. Invest. 100:503, 1997; Threlkeld, S. C. et al., J. Immunol. 159:1648, 1997; Diepolder, H. M. et al., J. Virol. 71:6011, 1997). Accordingly, recall responses are detected by culturing PBL from subjects that have been exposed to the antigen due to disease and thus have generated an immune response “naturally”, or from patients who were vaccinated against the antigen. PBL from subjects are cultured in vitro for 1-2 weeks in the presence of test peptide plus antigen presenting cells (APC) to allow activation of “memory” T cells, as compared to “naive” T cells. At the end of the culture period, T cell activity is detected using assays including ⁵¹Cr release involving peptide-sensitized targets, T cell proliferation, or lymphokine release.

VI.) 254P1D6B Transgenic Animals

Nucleic acids that encode a 254P1D6B-related protein can also be used to generate either transgenic animals or “knock out” animals that, in turn, are useful in the development and screening of therapeutically useful reagents. In accordance with established techniques, cDNA encoding 254P1D6B can be used to clone genomic DNA that encodes 254P1D6B. The cloned genomic sequences can then be used to generate transgenic animals containing cells that express DNA that encode 254P1D6B. Methods for generating transgenic animals, particularly animals such as mice or rats, have become conventional in the art and are described, for example, in U.S. Pat. Nos. 4,736,866 issued 12 Apr. 1988, and 4,870,009 issued 26 Sep. 1989. Typically, particular cells would be targeted for 254P1D6B transgene incorporation with tissue-specific enhancers.

Transgenic animals that include a copy of a transgene encoding 254P1D6B can be used to examine the effect of increased expression of DNA that encodes 254P1D6B. Such animals can be used as tester animals for reagents thought to confer protection from, for example, pathological conditions associated with its overexpression. In accordance with this aspect of the invention, an animal is treated with a reagent and a reduced incidence of a pathological condition, compared to untreated animals that bear the transgene, would indicate a potential therapeutic intervention for the pathological condition.

Alternatively, non-human homologues of 254P1D6B can be used to construct a 254P1D6B “knock out” animal that has a defective or altered gene encoding 254P1D6B as a result of homologous recombination between the endogenous gene encoding 254P1D6B and altered genomic DNA encoding 254P1D6B introduced into an embryonic cell of the animal. For example, cDNA that encodes 254P1D6B can be used to clone genomic DNA encoding 254P1D6B in accordance with established techniques. A portion of the genomic DNA encoding 254P1D6B can be deleted or replaced with another gene, such as a gene encoding a selectable marker that can be used to monitor integration. Typically, several kilobases of unaltered flanking DNA (both at the 5′ and 3′ ends) are included in the vector (see, e.g., Thomas and Capecchi, Cell, 51:503 (1987) for a description of homologous recombination vectors). The vector is introduced into an embryonic stem cell line (e.g., by electroporation) and cells in which the introduced DNA has homologously recombined with the endogenous DNA are selected (see, e.g., Li et al., Cell, 69:915 (1992)). The selected cells are then injected into a blastocyst of an animal (e.g., a mouse or rat) to form aggregation chimeras (see, e.g., Bradley, in Teratocarcinomas and Embryonic Stem Cells: A Practical Approach, E. J. Robertson, ed. (IRL, Oxford, 1987), pp. 113-152). A chimeric embryo can then be implanted into a suitable pseudopregnant female foster animal, and the embryo brought to term to create a “knock out” animal. Progeny harboring the homologously recombined DNA in their germ cells can be identified by standard techniques and used to breed animals in which all cells of the animal contain the homologously recombined DNA. Knock out animals can be characterized, for example, for their ability to defend against certain pathological conditions or for their development of pathological conditions due to absence of a 254P1D6B polypeptide.

VII.) Methods for the Detection of 254P1D6B

Another aspect of the present invention relates to methods for detecting 254P1D6B polynucleotides and 254P1D6B-related proteins, as well as methods for identifying a cell that expresses 254P1D6B. The expression profile of 254P1D6B makes it a diagnostic marker for metastasized disease. Accordingly, the status of 254P1D6B gene products provides information useful for predicting a variety of factors including susceptibility to advanced stage disease, rate of progression, and/or tumor aggressiveness. As discussed in detail herein, the status of 254P1D6B gene products in patient samples can be analyzed by a variety protocols that are well known in the art including immunohistochemical analysis, the variety of Northern blotting techniques including in situ hybridization, RT-PCR analysis (for example on laser capture micro-dissected samples), Western blot analysis and tissue array analysis.

More particularly, the invention provides assays for the detection of 254P1D6B polynucleotides in a biological sample, such as serum, bone, prostate, and other tissues, urine, semen, cell preparations, and the like. Detectable 254P1D6B polynucleotides include, for example, a 254P1D6B gene or fragment thereof, 254P1D6B mRNA, alternative splice variant 254P1D6B mRNAs, and recombinant DNA or RNA molecules that contain a 254P1D6B polynucleotide. A number of methods for amplifying and/or detecting the presence of 254P1D6B polynucleotides are well known in the art and can be employed in the practice of this aspect of the invention.

In one embodiment, a method for detecting a 254P1D6B mRNA in a biological sample comprises producing cDNA from the sample by reverse transcription using at least one primer; amplifying the cDNA so produced using a 254P1D6B polynucleotides as sense and antisense primers to amplify 254P1D6B cDNAs therein; and detecting the presence of the amplified 254P1D6B cDNA. Optionally, the sequence of the amplified 254P1D6B cDNA can be determined.

In another embodiment, a method of detecting a 254P1D6B gene in a biological sample comprises first isolating genomic DNA from the sample; amplifying the isolated genomic DNA using 254P1D6B polynucleotides as sense and antisense primers; and detecting the presence of the amplified 254P1D6B gene. Any number of appropriate sense and antisense probe combinations can be designed from a 254P1D6B nucleotide sequence (see, e.g., FIG. 2) and used for this purpose.

The invention also provides assays for detecting the presence of a 254P1D6B protein in a tissue or other biological sample such as serum, semen, bone, prostate, urine, cell preparations, and the like. Methods for detecting a 254P1D6B-related protein are also well known and include, for example, immunoprecipitation, immunohistochemical analysis, Western blot analysis, molecular binding assays, ELISA, ELIFA and the like. For example, a method of detecting the presence of a 254P1D6B-related protein in a biological sample comprises first contacting the sample with a 254P1D6B antibody, a 254P1D6B-reactive fragment thereof, or a recombinant protein containing an antigen-binding region of a 254P1D6B antibody; and then detecting the binding of 254P1D6B-related protein in the sample.

Methods for identifying a cell that expresses 254P1D6B are also within the scope of the invention. In one embodiment, an assay for identifying a cell that expresses a 254P1D6B gene comprises detecting the presence of 254P1D6B mRNA in the cell. Methods for the detection of particular mRNAs in cells are well known and include, for example, hybridization assays using complementary DNA probes (such as in situ hybridization using labeled 254P1D6B riboprobes, Northern blot and related techniques) and various nucleic acid amplification assays (such as RT-PCR using complementary primers specific for 254P1D6B, and other amplification type detection methods, such as, for example, branched DNA, SISBA, TMA and the like). Alternatively, an assay for identifying a cell that expresses a 254P1D6B gene comprises detecting the presence of 254P1D6B-related protein in the cell or secreted by the cell. Various methods for the detection of proteins are well known in the art and are employed for the detection of 254P1D6B-related proteins and cells that express 254P1D6B-related proteins.

254P1D6B expression analysis is also useful as a tool for identifying and evaluating agents that modulate 254P1D6B gene expression. For example, 254P1D6B expression is significantly upregulated in prostate cancer, and is expressed in cancers of the tissues listed in Table I. Identification of a molecule or biological agent that inhibits 254P1D6B expression or over-expression in cancer cells is of therapeutic value. For example, such an agent can be identified by using a screen that quantifies 254P1D6B expression by RT-PCR, nucleic acid hybridization or antibody binding.

VIII.) Methods for Monitoring the Status of 254P1D6B-related Genes and Their Products

Oncogenesis is known to be a multistep process where cellular growth becomes progressively dysregulated and cells progress from a normal physiological state to precancerous and then cancerous states (see, e.g., Alers et al., Lab Invest. 77(5): 437-438 (1997) and Isaacs et al., Cancer Surv. 23: 19-32 (1995)). In this context, examining a biological sample for evidence of dysregulated cell growth (such as aberrant 254P1D6B expression in cancers) allows for early detection of such aberrant physiology, before a pathologic state such as cancer has progressed to a stage that therapeutic options are more limited and or the prognosis is worse. In such examinations, the status of 254P1D6B in a biological sample of interest can be compared, for example, to the status of 254P1D6B in a corresponding normal sample (e.g. a sample from that individual or alternatively another individual that is not affected by a pathology). An alteration in the status of 254P1D6B in the biological sample (as compared to the normal sample) provides evidence of dysregulated cellular growth. In addition to using a biological sample that is not affected by a pathology as a normal sample, one can also use a predetermined normative value such as a predetermined normal level of mRNA expression (see, e.g., Grever et al., J. Comp. Neurol. 1996 Dec. 9; 376(2): 306-14 and U.S. Pat. No. 5,837,501) to compare 254P1D6B status in a sample.

The term “status” in this context is used according to its art accepted meaning and refers to the condition or state of a gene and its products. Typically, skilled artisans use a number of parameters to evaluate the condition or state of a gene and its products. These include, but are not limited to the location of expressed gene products (including the location of 254P1D6B expressing cells) as well as the level, and biological activity of expressed gene products (such as 254P1D6B mRNA, polynucleotides and polypeptides). Typically, an alteration in the status of 254P1D6B comprises a change in the location of 254P1D6B and/or 254P1D6B expressing cells and/or an increase in 254P1D6B mRNA and/or protein expression.

254P1D6B status in a sample can be analyzed by a number of means well known in the art, including without limitation, immunohistochemical analysis, in situ hybridization, RT-PCR analysis on laser capture micro-dissected samples, Western blot analysis, and tissue array analysis. Typical protocols for evaluating the status of a 254P1D6B gene and gene products are found, for example in Ausubel et al. eds., 1995, Current Protocols In Molecular Biology, Units 2 (Northern Blotting), 4 (Southern Blotting), 15 (Immunoblotting) and 18 (PCR Analysis). Thus, the status of 254P1D6B in a biological sample is evaluated by various methods utilized by skilled artisans including, but not limited to genomic Southern analysis (to examine, for example perturbations in a 254P1D6B gene), Northern analysis and/or PCR analysis of 254P1D6B mRNA (to examine, for example alterations in the polynucleotide sequences or expression levels of 254P1D6B mRNAs), and, Western and/or immunohistochemical analysis (to examine, for example alterations in polypeptide sequences, alterations in polypeptide localization within a sample, alterations in expression levels of 254P1D6B proteins and/or associations of 254P1D6B proteins with polypeptide binding partners). Detectable 254P1D6B polynucleotides include, for example, a 254P1D6B gene or fragment thereof, 254P1D6B mRNA, alternative splice variants, 254P1D6B mRNAs, and recombinant DNA or RNA molecules containing a 254P1D6B polynucleotide.

The expression profile of 254P1D6B makes it a diagnostic marker for local and/or metastasized disease, and provides information on the growth or oncogenic potential of a biological sample. In particular, the status of 254P1D6B provides information useful for predicting susceptibility to particular disease stages, progression, and/or tumor aggressiveness. The invention provides methods and assays for determining 254P1D6B status and diagnosing cancers that express 254P1D6B, such as cancers of the tissues listed in Table I. For example, because 254P1D6B mRNA is so highly expressed in prostate and other cancers relative to normal prostate tissue, assays that evaluate the levels of 254P1D6B mRNA transcripts or proteins in a biological sample can be used to diagnose a disease associated with 254P1D6B dysregulation, and can provide prognostic information useful in defining appropriate therapeutic options.

The expression status of 254P1D6B provides information including the presence, stage and location of dysplastic, precancerous and cancerous cells, predicting susceptibility to various stages of disease, and/or for gauging tumor aggressiveness. Moreover, the expression profile makes it useful as an imaging reagent for metastasized disease. Consequently, an aspect of the invention is directed to the various molecular prognostic and diagnostic methods for examining the status of 254P1D6B in biological samples such as those from individuals suffering from, or suspected of suffering from a pathology characterized by dysregulated cellular growth, such as cancer.

As described above, the status of 254P1D6B in a biological sample can be examined by a number of well-known procedures in the art. For example, the status of 254P1D6B in a biological sample taken from a specific location in the body can be examined by evaluating the sample for the presence or absence of 254P1D6B expressing cells (e.g. those that express 254P1D6B mRNAs or proteins). This examination can provide evidence of dysregulated cellular growth, for example, when 254P1D6B expressing cells are found in a biological sample that does not normally contain such cells (such as a lymph node), because such alterations in the status of 254P1D6B in a biological sample are often associated with dysregulated cellular growth. Specifically, one indicator of dysregulated cellular growth is the metastases of cancer cells from an organ of origin (such as the prostate) to a different area of the body (such as a lymph node). In this context, evidence of dysregulated cellular growth is important for example because occult lymph node metastases can be detected in a substantial proportion of patients with prostate cancer, and such metastases are associated with known predictors of disease progression (see, e.g., Murphy et al., Prostate 42(4): 315-317 (2000);Su et al., Semin. Surg. Oncol. 18(1): 17-28 (2000) and Freeman et al., J Urol 1995 August 154(2 Pt 1):474-8).

In one aspect, the invention provides methods for monitoring 254P1D6B gene products by determining the status of 254P1D6B gene products expressed by cells from an individual suspected of having a disease associated with dysregulated cell growth (such as hyperplasia or cancer) and then comparing the status so determined to the status of 254P1D6B gene products in a corresponding normal sample. The presence of aberrant 254P1D6B gene products in the test sample relative to the normal sample provides an indication of the presence of dysregulated cell growth within the cells of the individual.

In another aspect, the invention provides assays useful in determining the presence of cancer in an individual, comprising detecting a significant increase in 254P1D6B mRNA or protein expression in a test cell or tissue sample relative to expression levels in the corresponding normal cell or tissue. The presence of 254P1D6B mRNA can, for example, be evaluated in tissues including but not limited to those listed in Table I. The presence of significant 254P1D6B expression in any of these tissues is useful to indicate the emergence, presence and/or severity of a cancer, since the corresponding normal tissues do not express 254P1D6B mRNA or express it at lower levels.

In a related embodiment, 254P1D6B status is determined at the protein level rather than at the nucleic acid level. For example, such a method comprises determining the level of 254P1D6B protein expressed by cells in a test tissue sample and comparing the level so determined to the level of 254P1D6B expressed in a corresponding normal sample. In one embodiment, the presence of 254P1D6B protein is evaluated, for example, using immunohistochemical methods. 254P1D6B antibodies or binding partners capable of detecting 254P1D6B protein expression are used in a variety of assay formats well known in the art for this purpose.

In a further embodiment, one can evaluate the status of 254P1D6B nucleotide and amino acid sequences in a biological sample in order to identify perturbations in the structure of these molecules. These perturbations can include insertions, deletions, substitutions and the like. Such evaluations are useful because perturbations in the nucleotide and amino acid sequences are observed in a large number of proteins associated with a growth dysregulated phenotype (see, e.g., Marrogi et al., 1999, J. Cutan. Pathol. 26(8):369-378). For example, a mutation in the sequence of 254P1D6B may be indicative of the presence or promotion of a tumor. Such assays therefore have diagnostic and predictive value where a mutation in 254P1D6B indicates a potential loss of function or increase in tumor growth.

A wide variety of assays for observing perturbations in nucleotide and amino acid sequences are well known in the art. For example, the size and structure of nucleic acid or amino acid sequences of 254P1D6B gene products are observed by the Northern, Southern, Western, PCR and DNA sequencing protocols discussed herein. In addition, other methods for observing perturbations in nucleotide and amino acid sequences such as single strand conformation polymorphism analysis are well known in the art (see, e.g., U.S. Pat. Nos. 5,382,510 issued 7 Sep. 1999, and 5,952,170 issued 17 Jan. 1995).

Additionally, one can examine the methylation status of a 254P1D6B gene in a biological sample. Aberrant demethylation and/or hypermethylation of CpG islands in gene 5′ regulatory regions frequently occurs in immortalized and transformed cells, and can result in altered expression of various genes. For example, promoter hypermethylation of the pi-class glutathione S-transferase (a protein expressed in normal prostate but not expressed in >90% of prostate carcinomas) appears to permanently silence transcription of this gene and is the most frequently detected genomic alteration in prostate carcinomas (De Marzo et al., Am. J. Pathol. 155(6): 1985-1992 (1999)). In addition, this alteration is present in at least 70% of cases of high-grade prostatic intraepithelial neoplasia (PIN) (Brooks et al., Cancer Epidemiol. Biomarkers Prev., 1998, 7:531-536). In another example, expression of the LAGE-I tumor specific gene (which is not expressed in normal prostate but is expressed in 25-50% of prostate cancers) is induced by deoxy-azacytidine in lymphoblastoid cells, suggesting that tumoral expression is due to demethylation (Lethe et al., Int. J. Cancer 76(6): 903-908 (1998)). A variety of assays for examining methylation status of a gene are well known in the art. For example, one can utilize, in Southern hybridization approaches, methylation-sensitive restriction enzymes that cannot cleave sequences that contain methylated CpG sites to assess the methylation status of CpG islands. In addition, MSP (methylation specific PCR) can rapidly profile the methylation status of all the CpG sites present in a CpG island of a given gene. This procedure involves initial modification of DNA by sodium bisulfite (which will convert all unmethylated cytosines to uracil) followed by amplification using primers specific for methylated versus unmethylated DNA. Protocols involving methylation interference can also be found for example in Current Protocols In Molecular Biology, Unit 12, Frederick M. Ausubel et al. eds., 1995.

Gene amplification is an additional method for assessing the status of 254P1D6B. Gene amplification is measured in a sample directly, for example, by conventional Southern blotting or Northern blotting to quantitate the transcription of mRNA (Thomas, 1980, Proc. Natl. Acad. Sci. USA, 77:5201-5205), dot blotting (DNA analysis), or in situ hybridization, using an appropriately labeled probe, based on the sequences provided herein. Alternatively, antibodies are employed that recognize specific duplexes, including DNA duplexes, RNA duplexes, and DNA-RNA hybrid duplexes or DNA-protein duplexes. The antibodies in turn are labeled and the assay carried out where the duplex is bound to a surface, so that upon the formation of duplex on the surface, the presence of antibody bound to the duplex can be detected.

Biopsied tissue or peripheral blood can be conveniently assayed for the presence of cancer cells using for example, Northern, dot blot or RT-PCR analysis to detect 254P1D6B expression. The presence of RT-PCR amplifiable 254P1D6B mRNA provides an indication of the presence of cancer. RT-PCR assays are well known in the art. RT-PCR detection assays for tumor cells in peripheral blood are currently being evaluated for use in the diagnosis and management of a number of human solid tumors. In the prostate cancer field, these include RT-PCR assays for the detection of cells expressing PSA and PSM (Verkaik et al., 1997, Urol. Res. 25:373-384; Ghossein et al., 1995, J. Clin. Oncol. 13:1195-2000; Heston et al., 1995, Clin. Chem. 41:1687-1688).

A further aspect of the invention is an assessment of the susceptibility that an individual has for developing cancer. In one embodiment, a method for predicting susceptibility to cancer comprises detecting 254P1D6B mRNA or 254P1D6B protein in a tissue sample, its presence indicating susceptibility to cancer, wherein the degree of 254P1D6B mRNA expression correlates to the degree of susceptibility. In a specific embodiment, the presence of 254P1D6B in prostate or other tissue is examined, with the presence of 254P1D6B in the sample providing an indication of prostate cancer susceptibility (or the emergence or existence of a prostate tumor). Similarly, one can evaluate the integrity 254P1D6B nucleotide and amino acid sequences in a biological sample, in order to identify perturbations in the structure of these molecules such as insertions, deletions, substitutions and the like. The presence of one or more perturbations in 254P1D6B gene products in the sample is an indication of cancer susceptibility (or the emergence or existence of a tumor).

The invention also comprises methods for gauging tumor aggressiveness. In one embodiment, a method for gauging aggressiveness of a tumor comprises determining the level of 254P1D6B mRNA or 254P1D6B protein expressed by tumor cells, comparing the level so determined to the level of 254P1D6B mRNA or 254P1D6B protein expressed in a corresponding normal tissue taken from the same individual or a normal tissue reference sample, wherein the degree of 254P1D6B mRNA or 254P1D6B protein expression in the tumor sample relative to the normal sample indicates the degree of aggressiveness. In a specific embodiment, aggressiveness of a tumor is evaluated by determining the extent to which 254P1D6B is expressed in the tumor cells, with higher expression levels indicating more aggressive tumors. Another embodiment is the evaluation of the integrity of 254P1D6B nucleotide and amino acid sequences in a biological sample, in order to identify perturbations in the structure of these molecules such as insertions, deletions, substitutions and the like. The presence of one or more perturbations indicates more aggressive tumors.

Another embodiment of the invention is directed to methods for observing the progression of a malignancy in an individual over time. In one embodiment, methods for observing the progression of a malignancy in an individual over time comprise determining the level of 254P1D6B mRNA or 254P1D6B protein expressed by cells in a sample of the tumor, comparing the level so determined to the level of 254P1D6B mRNA or 254P1D6B protein expressed in an equivalent tissue sample taken from the same individual at a different time, wherein the degree of 254P1D6B mRNA or 254P1D6B protein expression in the tumor sample over time provides information on the progression of the cancer. In a specific embodiment, the progression of a cancer is evaluated by determining 254P1D6B expression in the tumor cells over time, where increased expression over time indicates a progression of the cancer. Also, one can evaluate the integrity 254P1D6B nucleotide and amino acid sequences in a biological sample in order to identify perturbations in the structure of these molecules such as insertions, deletions, substitutions and the like, where the presence of one or more perturbations indicates a progression of the cancer.

The above diagnostic approaches can be combined with any one of a wide variety of prognostic and diagnostic protocols known in the art. For example, another embodiment of the invention is directed to methods for observing a coincidence between the expression of 254P1D6B gene and 254P1D6B gene products (or perturbations in 254P1D6B gene and 254P1D6B gene products) and a factor that is associated with malignancy, as a means for diagnosing and prognosticating the status of a tissue sample. A wide variety of factors associated with malignancy can be utilized, such as the expression of genes associated with malignancy (e.g. PSA, PSCA and PSM expression for prostate cancer etc.) as well as gross cytological observations (see, e.g., Bocking et al., 1984, Anal. Quant. Cytol. 6(2):74-88; Epstein, 1995, Hum. Pathol. 26(2):223-9; Thorson et al., 1998, Mod. Pathol. 11(6):543-51; Baisden et al., 1999, Am. J. Surg. Pathol. 23(8):918-24). Methods for observing a coincidence between the expression of 254P1D6B gene and 254P1D6B gene products (or perturbations in 254P1D6B gene and 254P1D6B gene products) and another factor that is associated with malignancy are useful, for example, because the presence of a set of specific factors that coincide with disease provides information crucial for diagnosing and prognosticating the status of a tissue sample.

In one embodiment, methods for observing a coincidence between the expression of 254P1D6B gene and 254P1D6B gene products (or perturbations in 254P1D6B gene and 254P1D6B gene products) and another factor associated with malignancy entails detecting the overexpression of 254P1D6B mRNA or protein in a tissue sample, detecting the overexpression of PSA mRNA or protein in a tissue sample (or PSCA or PSM expression), and observing a coincidence of 254P1D6B mRNA or protein and PSA mRNA or protein overexpression (or PSCA or PSM expression). In a specific embodiment, the expression of 254P1D6B and PSA mRNA in prostate tissue is examined, where the coincidence of 254P1D6B and PSA mRNA overexpression in the sample indicates the existence of prostate cancer, prostate cancer susceptibility or the emergence or status of a prostate tumor.

Methods for detecting and quantifying the expression of 254P1D6B mRNA or protein are described herein, and standard nucleic acid and protein detection and quantification technologies are well known in the art. Standard methods for the detection and quantification of 254P1D6B mRNA include in situ hybridization using labeled 254P1D6B riboprobes, Northern blot and related techniques using 254P1D6B polynucleotide probes, RT-PCR analysis using primers specific for 254P1D6B, and other amplification type detection methods, such as, for example, branched DNA, SISBA, TMA and the like. In a specific embodiment, semi-quantitative RT-PCR is used to detect and quantify 254P1D6B mRNA expression. Any number of primers capable of amplifying 254P1D6B can be used for this purpose, including but not limited to the various primer sets specifically described herein. In a specific embodiment, polyclonal or monoclonal antibodies specifically reactive with the wild-type 254P1D6B protein can be used in an immunohistochemical assay of biopsied tissue.

IX.) Identification of Molecules that Interact with 254P1D6B

The 254P1D6B protein and nucleic acid sequences disclosed herein allow a skilled artisan to identify proteins, small molecules and other agents that interact with 254P1D6B, as well as pathways activated by 254P1D6B via any one of a variety of art accepted protocols. For example, one can utilize one of the so-called interaction trap systems (also referred to as the “two-hybrid assay”). In such systems, molecules interact and reconstitute a transcription factor which directs expression of a reporter gene, whereupon the expression of the reporter gene is assayed. Other systems identify protein-protein interactions in vivo through reconstitution of a eukaryotic transcriptional activator, see, e.g., U.S. Pat. Nos. 5,955,280 issued 21 Sep. 1999, 5,925,523 issued 20 Jul. 1999, 5,846,722 issued 8 Dec. 1998 and 6,004,746 issued 21 Dec. 1999. Algorithms are also available in the art for genome-based predictions of protein function (see, e.g., Marcotte, et al., Nature 402: 4 Nov. 1999, 83-86).

Alternatively one can screen peptide libraries to identify molecules that interact with 254P1D6B protein sequences. In such methods, peptides that bind to 254P1D6B are identified by screening libraries that encode a random or controlled collection of amino acids. Peptides encoded by the libraries are expressed as fusion proteins of bacteriophage coat proteins, the bacteriophage particles are then screened against the 254P1D6B protein(s).

Accordingly, peptides having a wide variety of uses, such as therapeutic, prognostic or diagnostic reagents, are thus identified without any prior information on the structure of the expected ligand or receptor molecule. Typical peptide libraries and screening methods that can be used to identify molecules that interact with 254P1D6B protein sequences are disclosed for example in U.S. Pat. Nos. 5,723,286 issued 3 Mar. 1998 and 5,733,731 issued 31 Mar. 1998.

Alternatively, cell lines that express 254P1D6B are used to identify protein-protein interactions mediated by 254P1D6B. Such interactions can be examined using immunoprecipitation techniques (see, e.g., Hamilton B. J., et al. Biochem. Biophys. Res. Commun. 1999, 261:646-51). 254P1D6B protein can be immunoprecipitated from 254P1D6B-expressing cell lines using anti-254P1D6B antibodies. Alternatively, antibodies against His-tag can be used in a cell line engineered to express fusions of 254P1D6B and a His-tag (vectors mentioned above). The immunoprecipitated complex can be examined for protein association by procedures such as Western blotting, ³⁵S-methionine labeling of proteins, protein microsequencing, silver staining and two-dimensional gel electrophoresis.

Small molecules and ligands that interact with 254P1D6B can be identified through related embodiments of such screening assays. For example, small molecules can be identified that interfere with protein function, including molecules that interfere with 254P1D6B's ability to mediate phosphorylation and de-phosphorylation, interaction with DNA or RNA molecules as an indication of regulation of cell cycles, second messenger signaling or tumorigenesis. Similarly, small molecules that modulate 254P1D6B-related ion channel, protein pump, or cell communication functions are identified and used to treat patients that have a cancer that expresses 254P1D6B (see, e.g., Hille, B., Ionic Channels of Excitable Membranes 2^(nd) Ed., Sinauer Assoc., Sunderland, Mass., 1992). Moreover, ligands that regulate 254P1D6B function can be identified based on their ability to bind 254P1D6B and activate a reporter construct. Typical methods are discussed for example in U.S. Pat. No. 5,928,868 issued 27 Jul. 1999, and include methods for forming hybrid ligands in which at least one ligand is a small molecule. In an illustrative embodiment, cells engineered to express a fusion protein of 254P1D6B and a DNA-binding protein are used to co-express a fusion protein of a hybrid ligand/small molecule and a cDNA library transcriptional activator protein. The cells further contain a reporter gene, the expression of which is conditioned on the proximity of the first and second fusion proteins to each other, an event that occurs only if the hybrid ligand binds to target sites on both hybrid proteins. Those cells that express the reporter gene are selected and the unknown small molecule or the unknown ligand is identified. This method provides a means of identifying modulators, which activate or inhibit 254P1D6B.

An embodiment of this invention comprises a method of screening for a molecule that interacts with a 254P1D6B amino acid sequence shown in FIG. 2 or FIG. 3, comprising the steps of contacting a population of molecules with a 254P1D6B amino acid sequence, allowing the population of molecules and the 254P1D6B amino acid sequence to interact under conditions that facilitate an interaction, determining the presence of a molecule that interacts with the 254P1D6B amino acid sequence, and then separating molecules that do not interact with the 254P1D6B amino acid sequence from molecules that do. In a specific embodiment, the method further comprises purifying, characterizing and identifying a molecule that interacts with the 254P1D6B amino acid sequence. The identified molecule can be used to modulate a function performed by 254P1D6B. In a preferred embodiment, the 254P1D6B amino acid sequence is contacted with a library of peptides.

X) Therapeutic Methods and Compositions

The identification of 254P1D6B as a protein that is normally expressed in a restricted set of tissues, but which is also expressed in cancers such as those listed in Table I, opens a number of therapeutic approaches to the treatment of such cancers.

Of note, targeted antitumor therapies have been useful even when the targeted protein is expressed on normal tissues, even vital normal organ tissues. A vital organ is one that is necessary to sustain life, such as the heart or colon. A non-vital organ is one that can be removed whereupon the individual is still able to survive. Examples of non-vital organs are ovary, breast, and prostate.

For example, Herceptin® is an FDA approved pharmaceutical that has as its active ingredient an antibody which is immunoreactive with the protein variously known as HER2, HER2/neu, and erb-b-2. It is marketed by Genentech and has been a commercially successful antitumor agent. Herceptin sales reached almost $400 million in 2002. Herceptin is a treatment for HER2 positive metastatic breast cancer. However, the expression of HER2 is not limited to such tumors. The same protein is expressed in a number of normal tissues. In particular, it is known that HER2/neu is present in normal kidney and heart, thus these tissues are present in all human recipients of Herceptin. The presence of HER2/neu in normal kidney is also confirmed by Latif, Z., et al., B.J.U. International (2002) 89:5-9. As shown in this article (which evaluated whether renal cell carcinoma should be a preferred indication for anti-HER2 antibodies such as Herceptin) both protein and mRNA are produced in benign renal tissues. Notably, HER2/neu protein was strongly overexpressed in benign renal tissue.

Despite the fact that HER2/neu is expressed in such vital tissues as heart and kidney, Herceptin is a very useful, FDA approved, and commercially successful drug. The effect of Herceptin on cardiac tissue, i.e., “cardiotoxicity,” has merely been a side effect to treatment. When patients were treated with Herceptin alone, significant cardiotoxicity occurred in a very low percentage of patients.

Of particular note, although kidney tissue is indicated to exhibit normal expression, possibly even higher expression than cardiac tissue, kidney has no appreciable Herceptin side effect whatsoever. Moreover, of the diverse array of normal tissues in which HER2 is expressed, there is very little occurrence of any side effect. Only cardiac tissue has manifested any appreciable side effect at all. A tissue such as kidney, where HER2/neu expression is especially notable, has not been the basis for any side effect.

Furthermore, favorable therapeutic effects have been found for antitumor therapies that target epidermal growth factor receptor (EGFR). EGFR is also expressed in numerous normal tissues. There have been very limited side effects in normal tissues following use of anti-EGFR therapeutics.

Thus, expression of a target protein in normal tissue, even vital normal tissue, does not defeat the utility of a targeting agent for the protein as a therapeutic for certain tumors in which the protein is also overexpressed.

Accordingly, therapeutic approaches that inhibit the activity of a 254P1D6B protein are useful for patients suffering from a cancer that expresses 254P1D6B. These therapeutic approaches generally fall into two classes. One class comprises various methods for inhibiting the binding or association of a 254P1D6B protein with its binding partner or with other proteins. Another class comprises a variety of methods for inhibiting the transcription of a 254P1D6B gene or translation of 254P1D6B mRNA.

X.A.) Anti-Cancer Vaccines

The invention provides cancer vaccines comprising a 254P1D6B-related protein or 254P1D6B-related nucleic acid. In view of the expression of 254P1D6B, cancer vaccines prevent and/or treat 254P1D6B-expressing cancers with minimal or no effects on non-target tissues. The use of a tumor antigen in a vaccine that generates humoral and/or cell-mediated immune responses as anti-cancer therapy is well known in the art and has been employed in prostate cancer using human PSMA and rodent PAP immunogens (Hodge et al., 1995, Int. J. Cancer 63:231-237; Fong et al., 1997, J. Immunol. 159:3113-3117).

Such methods can be readily practiced by employing a 254P1D6B-related protein, or a 254P1D6B-encoding nucleic acid molecule and recombinant vectors capable of expressing and presenting the 254P1D6B immunogen (which typically comprises a number of antibody or T cell epitopes). Skilled artisans understand that a wide variety of vaccine systems for delivery of immunoreactive epitopes are known in the art (see, e.g., Heryln et al., Ann Med 1999 February 31(1):66-78; Maruyama et al., Cancer Immunol Immunother 2000 June 49(3):123-32) Briefly, such methods of generating an immune response (e.g. humoral and/or cell-mediated) in a mammal, comprise the steps of: exposing the mammal's immune system to an immunoreactive epitope (e.g. an epitope present in a 254P1D6B protein shown in FIG. 3 or analog or homolog thereof) so that the mammal generates an immune response that is specific for that epitope (e.g. generates antibodies that specifically recognize that epitope). In a preferred method, a 254P1D6B immunogen contains a biological motif, see e.g., Tables VIII-XXI and XXII-XLIX, or a peptide of a size range from 254P1D6B indicated in FIG. 5, FIG. 6, FIG. 7, FIG. 8, and FIG. 9.

The entire 254P1D6B protein, immunogenic regions or epitopes thereof can be combined and delivered by various means. Such vaccine compositions can include, for example, lipopeptides (e.g., Vitiello, A. et al., J. Clin. Invest. 95:341, 1995), peptide compositions encapsulated in poly(DL-lactide-co-glycolide) (“PLG”) microspheres (see, e.g., Eldridge, et al., Molec. Immunol. 28:287-294, 1991: Alonso et al., Vaccine 12:299-306, 1994; Jones et al., Vaccine 13:675-681, 1995), peptide compositions contained in immune stimulating complexes (ISCOMS) (see, e.g., Takahashi et al., Nature 344:873-875, 1990; Hu et al., Clin Exp Immunol. 113:235-243, 1998), multiple antigen peptide systems (MAPs) (see e.g., Tam, J. P., Proc. Natl. Acad. Sci. U.S.A. 85:5409-5413, 1988; Tam, J. P., J. Immunol. Methods 196:17-32, 1996), peptides formulated as multivalent peptides; peptides for use in ballistic delivery systems, typically crystallized peptides, viral delivery vectors (Perkus, M. E. et al., In: Concepts in vaccine development, Kaufmann, S. H. E., ed., p. 379, 1996; Chakrabarti, S. et al., Nature 320:535, 1986; Hu, S. L. et al., Nature 320:537, 1986; Kieny, M.-P. et al., AIDS Bio/Technology 4:790, 1986; Top, F. H. et al., J. Infect. Dis. 124:148, 1971; Chanda, P. K. et al., Virology 175:535, 1990), particles of viral or synthetic origin (e.g., Kofler, N. et al., J. Immunol. Methods. 192:25, 1996; Eldridge, J. H. et al., Sem. Hematol. 30:16, 1993; Falo, L. D., Jr. et al., Nature Med. 7:649, 1995), adjuvants (Warren, H. S., Vogel, F. R., and Chedid, L. A. Annu. Rev. Immunol. 4:369, 1986; Gupta, R. K. et al., Vaccine 11:293, 1993), liposomes (Reddy, R. et al., J. Immunol. 148:1585, 1992; Rock, K. L., Immunol. Today 17:131, 1996), or, naked or particle absorbed cDNA (Ulmer, J. B. et al., Science 259:1745, 1993; Robinson, H. L., Hunt, L. A., and Webster, R. G., Vaccine 11:957, 1993; Shiver, J. W. et al., In: Concepts in vaccine development, Kaufmann, S. H. E., ed., p. 423, 1996; Cease, K. B., and Berzofsky, J. A., Annu. Rev. Immunol. 12:923, 1994 and Eldridge, J. H. et al., Sem. Hematol. 30:16, 1993). Toxin-targeted delivery technologies, also known as receptor mediated targeting, such as those of Avant Immunotherapeutics, Inc. (Needham, Mass.) may also be used.

In patients with 254P1D6B-associated cancer, the vaccine compositions of the invention can also be used in conjunction with other treatments used for cancer, e.g., surgery, chemotherapy, drug therapies, radiation therapies, etc. including use in combination with immune adjuvants such as IL-2, IL-12, GM-CSF, and the like.

Cellular Vaccines:

CTL epitopes can be determined using specific algorithms to identify peptides within 254P1D6B protein that bind corresponding HLA alleles (see e.g., Table IV; Epimer™ and Epimatrix™, Brown University (URL brown.edu/Research/TB-HIV_Lab/epimatrix/epimatrix.html); and, BIMAS, (URL bimas.dcrt.nih.gov/; SYFPEITHI at URL syfpeithi.bmi-heidelberg.com/). In a preferred embodiment, a 254P1D6B immunogen contains one or more amino acid sequences identified using techniques well known in the art, such as the sequences shown in Tables VIII-XXI and XXII-XLIX or a peptide of 8, 9, 10 or 11 amino acids specified by an HLA Class I motif/supermotif (e.g., Table IV (A), Table IV (D), or Table IV (E)) and/or a peptide of at least 9 amino acids that comprises an HLA Class II motif/supermotif (e.g., Table IV (B) or Table IV (C)). As is appreciated in the art, the HLA Class I binding groove is essentially closed ended so that peptides of only a particular size range can fit into the groove and be bound, generally HLA Class I epitopes are 8, 9, 10, or 11 amino acids long. In contrast, the HLA Class II binding groove is essentially open ended; therefore a peptide of about 9 or more amino acids can be bound by an HLA Class II molecule. Due to the binding groove differences between HLA Class I and II, HLA Class I motifs are length specific, i.e., position two of a Class I motif is the second amino acid in an amino to carboxyl direction of the peptide. The amino acid positions in a Class II motif are relative only to each other, not the overall peptide, i.e., additional amino acids can be attached to the amino and/or carboxyl termini of a motif-bearing sequence. HLA Class II epitopes are often 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, or 25 amino acids long, or longer than 25 amino acids.

Antibody-Based Vaccines

A wide variety of methods for generating an immune response in a mammal are known in the art (for example as the first step in the generation of hybridomas). Methods of generating an immune response in a mammal comprise exposing the mammal's immune system to an immunogenic epitope on a protein (e.g. a 254P1D6B protein) so that an immune response is generated. A typical embodiment consists of a method for generating an immune response to 254P1D6B in a host, by contacting the host with a sufficient amount of at least one 254P1D6B B cell or cytotoxic T-cell epitope or analog thereof; and at least one periodic interval thereafter re-contacting the host with the 254P1D6B B cell or cytotoxic T-cell epitope or analog thereof. A specific embodiment consists of a method of generating an immune response against a 254P1D6B-related protein or a man-made multiepitopic peptide comprising: administering 254P1D6B immunogen (e.g. a 254P1D6B protein or a peptide fragment thereof, a 254P1D6B fusion protein or analog etc.) in a vaccine preparation to a human or another mammal. Typically, such vaccine preparations further contain a suitable adjuvant (see, e.g., U.S. Pat. No. 6,146,635) or a universal helper epitope such as a PADRE™ peptide (Epimmune Inc., San Diego, Calif.; see, e.g., Alexander et al., J. Immunol. 2000 164(3); 164(3): 1625-1633; Alexander et al., Immunity 1994 1(9): 751-761 and Alexander et al., Immunol. Res. 1998 18(2): 79-92). An alternative method comprises generating an immune response in an individual against a 254P1D6B immunogen by: administering in vivo to muscle or skin of the individual's body a DNA molecule that comprises a DNA sequence that encodes a 254P1D6B immunogen, the DNA sequence operatively linked to regulatory sequences which control the expression of the DNA sequence; wherein the DNA molecule is taken up by cells, the DNA sequence is expressed in the cells and an immune response is generated against the immunogen (see, e.g., U.S. Pat. No. 5,962,428). Optionally a genetic vaccine facilitator such as anionic lipids; saponins; lectins; estrogenic compounds; hydroxylated lower alkyls; dimethyl sulfoxide; and urea is also administered. In addition, an antiidiotypic antibody can be administered that mimics 254P1D6B, in order to generate a response to the target antigen.

Nucleic Acid Vaccines:

Vaccine compositions of the invention include nucleic acid-mediated modalities. DNA or RNA that encode protein(s) of the invention can be administered to a patient. Genetic immunization methods can be employed to generate prophylactic or therapeutic humoral and cellular immune responses directed against cancer cells expressing 254P1D6B. Constructs comprising DNA encoding a 254P1D6B-related protein/immunogen and appropriate regulatory sequences can be injected directly into muscle or skin of an individual, such that the cells of the muscle or skin take-up the construct and express the encoded 254P1D6B protein/immunogen. Alternatively, a vaccine comprises a 254P1D6B-related protein. Expression of the 254P1D6B-related protein immunogen results in the generation of prophylactic or therapeutic humoral and cellular immunity against cells that bear a 254P1D6B protein. Various prophylactic and therapeutic genetic immunization techniques known in the art can be used (for review, see information and references published at Internet address genweb.com). Nucleic acid-based delivery is described, for instance, in Wolff et. al., Science 247:1465 (1990) as well as U.S. Pat. Nos. 5,580,859; 5,589,466; 5,804,566; 5,739,118; 5,736,524; 5,679,647; WO 98/04720. Examples of DNA-based delivery technologies include “naked DNA”, facilitated (bupivacaine, polymers, peptide-mediated) delivery, cationic lipid complexes, and particle-mediated (“gene gun”) or pressure-mediated delivery (see, e.g., U.S. Pat. No. 5,922,687).

For therapeutic or prophylactic immunization purposes, proteins of the invention can be expressed via viral or bacterial vectors. Various viral gene delivery systems that can be used in the practice of the invention include, but are not limited to, vaccinia, fowlpox, canarypox, adenovirus, influenza, poliovirus, adeno-associated virus, lentivirus, and sindbis virus (see, e.g., Restifo, 1996, Curr. Opin. Immunol. 8:658-663; Tsang et al. J. Natl. Cancer Inst. 87:982-990 (1995)). Non-viral delivery systems can also be employed by introducing naked DNA encoding a 254P1D6B-related protein into the patient (e.g., intramuscularly or intradermally) to induce an anti-tumor response.

Vaccinia virus is used, for example, as a vector to express nucleotide sequences that encode the peptides of the invention. Upon introduction into a host, the recombinant vaccinia virus expresses the protein immunogenic peptide, and thereby elicits a host immune response. Vaccinia vectors and methods useful in immunization protocols are described in, e.g., U.S. Pat. No. 4,722,848. Another vector is BCG (Bacille Calmette Guerin). BCG vectors are described in Stover et al., Nature 351:456-460 (1991). A wide variety of other vectors useful for therapeutic administration or immunization of the peptides of the invention, e.g. adeno and adeno-associated virus vectors, retroviral vectors, Salmonella typhi vectors, detoxified anthrax toxin vectors, and the like, will be apparent to those skilled in the art from the description herein.

Thus, gene delivery systems are used to deliver a 254P1D6B-related nucleic acid molecule. In one embodiment, the full-length human 254P1D6B cDNA is employed. In another embodiment, 254P1D6B nucleic acid molecules encoding specific cytotoxic T lymphocyte (CTL) and/or antibody epitopes are employed.

Ex Vivo Vaccines

Various ex vivo strategies can also be employed to generate an immune response. One approach involves the use of antigen presenting cells (APCs) such as dendritic cells (DC) to present 254P1D6B antigen to a patient's immune system. Dendritic cells express MHC class I and II molecules, B7 co-stimulator, and IL-12, and are thus highly specialized antigen presenting cells. In prostate cancer, autologous dendritic cells pulsed with peptides of the prostate-specific membrane antigen (PSMA) are being used in a Phase I clinical trial to stimulate prostate cancer patients' immune systems (Tjoa et al., 1996, Prostate 28:65-69; Murphy et al., 1996, Prostate 29:371-380). Thus, dendritic cells can be used to present 254P1D6B peptides to T cells in the context of MHC class I or II molecules. In one embodiment, autologous dendritic cells are pulsed with 254P1D6B peptides capable of binding to MHC class I and/or class II molecules. In another embodiment, dendritic cells are pulsed with the complete 254P1D6B protein. Yet another embodiment involves engineering the overexpression of a 254P1D6B gene in dendritic cells using various implementing vectors known in the art, such as adenovirus (Arthur et al., 1997, Cancer Gene Ther. 4:17-25), retrovirus (Henderson et al., 1996, Cancer Res. 56:3763-3770), lentivirus, adeno-associated virus, DNA transfection (Ribas et al., 1997, Cancer Res. 57:2865-2869), or tumor-derived RNA transfection (Ashley et al., 1997, J. Exp. Med. 186:1177-1182). Cells that express 254P1D6B can also be engineered to express immune modulators, such as GM-CSF, and used as immunizing agents.

X.B.) 254P1D6B as a Target for Antibody-Based Therapy

254P1D6B is an attractive target for antibody-based therapeutic strategies. A number of antibody strategies are known in the art for targeting both extracellular and intracellular molecules (see, e.g., complement and ADCC mediated killing as well as the use of intrabodies). Because 254P1D6B is expressed by cancer cells of various lineages relative to corresponding normal cells, systemic administration of 254P1D6B-immunoreactive compositions are prepared that exhibit excellent sensitivity without toxic, non-specific and/or non-target effects caused by binding of the immunoreactive composition to non-target organs and tissues. Antibodies specifically reactive with domains of 254P1D6B are useful to treat 254P1D6B-expressing cancers systemically, either as conjugates with a toxin or therapeutic agent, or as naked antibodies capable of inhibiting cell proliferation or function.

254P1D6B antibodies can be introduced into a patient such that the antibody binds to 254P1D6B and modulates a function, such as an interaction with a binding partner, and consequently mediates destruction of the tumor cells and/or inhibits the growth of the tumor cells. Mechanisms by which such antibodies exert a therapeutic effect can include complement-mediated cytolysis, antibody-dependent cellular cytotoxicity, modulation of the physiological function of 254P1D6B, inhibition of ligand binding or signal transduction pathways, modulation of tumor cell differentiation, alteration of tumor angiogenesis factor profiles, and/or apoptosis.

Those skilled in the art understand that antibodies can be used to specifically target and bind immunogenic molecules such as an immunogenic region of a 254P1D6B sequence shown in FIG. 2 or FIG. 3. In addition, skilled artisans understand that it is routine to conjugate antibodies to cytotoxic agents (see, e.g., Slevers et al. Blood 93:11 3678-3684 (Jun. 1, 1999)). When cytotoxic and/or therapeutic agents are delivered directly to cells, such as by conjugating them to antibodies specific for a molecule expressed by that cell (e.g. 254P1D6B), the cytotoxic agent will exert its known biological effect (i.e. cytotoxicity) on those cells.

A wide variety of compositions and methods for using antibody-cytotoxic agent conjugates to kill cells are known in the art. In the context of cancers, typical methods entail administering to an animal having a tumor a biologically effective amount of a conjugate comprising a selected cytotoxic and/or therapeutic agent linked to a targeting agent (e.g. an anti-254P1D6B antibody) that binds to a marker (e.g. 254P1D6B) expressed, accessible to binding or localized on the cell surfaces. A typical embodiment is a method of delivering a cytotoxic and/or therapeutic agent to a cell expressing 254P1D6B, comprising conjugating the cytotoxic agent to an antibody that immunospecifically binds to a 254P1D6B epitope, and, exposing the cell to the antibody-agent conjugate. Another illustrative embodiment is a method of treating an individual suspected of suffering from metastasized cancer, comprising a step of administering parenterally to said individual a pharmaceutical composition comprising a therapeutically effective amount of an antibody conjugated to a cytotoxic and/or therapeutic agent.

Cancer immunotherapy using anti-254P1D6B antibodies can be done in accordance with various approaches that have been successfully employed in the treatment of other types of cancer, including but not limited to colon cancer (Arlen et al., 1998, Crit. Rev. Immunol. 18:133-138), multiple myeloma (Ozaki et al., 1997, Blood 90:3179-3186, Tsunenari et al., 1997, Blood 90:2437-2444), gastric cancer (Kasprzyk et al., 1992, Cancer Res. 52:2771-2776), B-cell lymphoma (Funakoshi et al., 1996, J. Immunother. Emphasis Tumor Immunol. 19:93-101), leukemia (Zhong et al., 1996, Leuk. Res. 20:581-589), colorectal cancer (Moun et al., 1994, Cancer Res. 54:6160-6166; Velders et al., 1995, Cancer Res. 55:4398-4403), and breast cancer (Shepard et al., 1991, J. Clin. Immunol. 11: 117-127). Some therapeutic approaches involve conjugation of naked antibody to a toxin or radioisotope, such as the conjugation of Y⁹¹ or I¹³¹ to anti-CD20 antibodies (e.g., Zevalin™, IDEC Pharmaceuticals Corp. or Bexxar™, Coulter Pharmaceuticals), while others involve co-administration of antibodies and other therapeutic agents, such as Herceptin™ (trastuzumab) with paclitaxel (Genentech, Inc.). The antibodies can be conjugated to a therapeutic agent. To treat prostate cancer, for example, 254P1D6B antibodies can be administered in conjunction with radiation, chemotherapy or hormone ablation. Also, antibodies can be conjugated to a toxin such as calicheamicin (e.g., Mylotarg™, Wyeth-Ayerst, Madison, N.J., a recombinant humanized IgG₄ kappa antibody conjugated to antitumor antibiotic calicheamicin) or a maytansinoid (e.g., taxane-based Tumor-Activated Prodrug, TAP, platform, ImmunoGen, Cambridge, Mass., also see e.g., U.S. Pat. No. 5,416,064).

Although 254P1D6B antibody therapy is useful for all stages of cancer, antibody therapy can be particularly appropriate in advanced or metastatic cancers. Treatment with the antibody therapy of the invention is indicated for patients who have received one or more rounds of chemotherapy. Alternatively, antibody therapy of the invention is combined with a chemotherapeutic or radiation regimen for patients who have not received chemotherapeutic treatment. Additionally, antibody therapy can enable the use of reduced dosages of concomitant chemotherapy, particularly for patients who do not tolerate the toxicity of the chemotherapeutic agent very well. Fan et al. (Cancer Res. 53:4637-4642, 1993), Prewett et al. (International J. of Onco. 9:217-224, 1996), and Hancock et al. (Cancer Res. 51:4575-4580, 1991) describe the use of various antibodies together with chemotherapeutic agents.

Although 254P1D6B antibody therapy is useful for all stages of cancer, antibody therapy can be particularly appropriate in advanced or metastatic cancers. Treatment with the antibody therapy of the invention is indicated for patients who have received one or more rounds of chemotherapy. Alternatively, antibody therapy of the invention is combined with a chemotherapeutic or radiation regimen for patients who have not received chemotherapeutic treatment. Additionally, antibody therapy can enable the use of reduced dosages of concomitant chemotherapy, particularly for patients who do not tolerate the toxicity of the chemotherapeutic agent very well.

Cancer patients can be evaluated for the presence and level of 254P1D6B expression, preferably using immunohistochemical assessments of tumor tissue, quantitative 254P1D6B imaging, or other techniques that reliably indicate the presence and degree of 254P1D6B expression. Immunohistochemical analysis of tumor biopsies or surgical specimens is preferred for this purpose. Methods for immunohistochemical analysis of tumor tissues are well known in the art.

Anti-254P1D6B monoclonal antibodies that treat prostate and other cancers include those that initiate a potent immune response against the tumor or those that are directly cytotoxic. In this regard, anti-254P1D6B monoclonal antibodies (mAbs) can elicit tumor cell lysis by either complement-mediated or antibody-dependent cell cytotoxicity (ADCC) mechanisms, both of which require an intact Fc portion of the immunoglobulin molecule for interaction with effector cell Fc receptor sites on complement proteins. In addition, anti-254P1D6B mAbs that exert a direct biological effect on tumor growth are useful to treat cancers that express 254P1D6B. Mechanisms by which directly cytotoxic mAbs act include: inhibition of cell growth, modulation of cellular differentiation, modulation of tumor angiogenesis factor profiles, and the induction of apoptosis. The mechanism(s) by which a particular anti-254P1D6B mAb exerts an anti-tumor effect is evaluated using any number of in vitro assays that evaluate cell death such as ADCC, ADMMC, complement-mediated cell lysis, and so forth, as is generally known in the art.

In some patients, the use of murine or other non-human monoclonal antibodies, or human/mouse chimeric mAbs can induce moderate to strong immune responses against the non-human antibody. This can result in clearance of the antibody from circulation and reduced efficacy. In the most severe cases, such an immune response can lead to the extensive formation of immune complexes which, potentially, can cause renal failure. Accordingly, preferred monoclonal antibodies used in the therapeutic methods of the invention are those that are either fully human or humanized and that bind specifically to the target 254P1D6B antigen with high affinity but exhibit low or no antigenicity in the patient.

Therapeutic methods of the invention contemplate the administration of single anti-254P1D6B mAbs as well as combinations, or cocktails, of different mAbs. Such mAb cocktails can have certain advantages inasmuch as they contain mAbs that target different epitopes, exploit different effector mechanisms or combine directly cytotoxic mAbs with mAbs that rely on immune effector functionality. Such mAbs in combination can exhibit synergistic therapeutic effects. In addition, anti-254P1D6B mAbs can be administered concomitantly with other therapeutic modalities, including but not limited to various chemotherapeutic agents, androgen-blockers, immune modulators (e.g., IL-2, GM-CSF), surgery or radiation. The anti-254P1D6B mAbs are administered in their “naked” or unconjugated form, or can have a therapeutic agent(s) conjugated to them.

Anti-254P1D6B antibody formulations are administered via any route capable of delivering the antibodies to a tumor cell. Routes of administration include, but are not limited to, intravenous, intraperitoneal, intramuscular, intratumor, intradermal, and the like. Treatment generally involves repeated administration of the anti-254P1D6B antibody preparation, via an acceptable route of administration such as intravenous injection (IV), typically at a dose in the range of about 0.1, 0.2, 0.3, 0.4, 0.5, 0.6, 0.7, 0.8, 0.9., 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 15, 20, or 25 mg/kg body weight. In general, doses in the range of 10-1000 mg mAb per week are effective and well tolerated.

Based on clinical experience with the Herceptin™ mAb in the treatment of metastatic breast cancer, an initial loading dose of approximately 4 mg/kg patient body weight IV, followed by weekly doses of about 2 mg/kg IV of the anti-254P1D6B mAb preparation represents an acceptable dosing regimen. Preferably, the initial loading dose is administered as a 90-minute or longer infusion. The periodic maintenance dose is administered as a 30 minute or longer infusion, provided the initial dose was well tolerated. As appreciated by those of skill in the art, various factors can influence the ideal dose regimen in a particular case. Such factors include, for example, the binding affinity and half life of the Ab or mAbs used, the degree of 254P1D6B expression in the patient, the extent of circulating shed 254P1D6B antigen, the desired steady-state antibody concentration level, frequency of treatment, and the influence of chemotherapeutic or other agents used in combination with the treatment method of the invention, as well as the health status of a particular patient.

Optionally, patients should be evaluated for the levels of 254P1D6B in a given sample (e.g. the levels of circulating 254P1D6B antigen and/or 254P1D6B expressing cells) in order to assist in the determination of the most effective dosing regimen, etc. Such evaluations are also used for monitoring purposes throughout therapy, and are useful to gauge therapeutic success in combination with the evaluation of other parameters (for example, urine cytology and/or ImmunoCyt levels in bladder cancer therapy, or by analogy, serum PSA levels in prostate cancer therapy).

Anti-idiotypic anti-254P1D6B antibodies can also be used in anti-cancer therapy as a vaccine for inducing an immune response to cells expressing a 254P1D6B-related protein. In particular, the generation of anti-idiotypic antibodies is well known in the art; this methodology can readily be adapted to generate anti-idiotypic anti-254P1D6B antibodies that mimic an epitope on a 254P1D6B-related protein (see, for example, Wagner et al., 1997, Hybridoma 16: 33-40; Foon et al., 1995, J. Clin. Invest. 96:334-342; Herlyn et al., 1996, Cancer Immunol. Immunother. 43:65-76). Such an anti-idiotypic antibody can be used in cancer vaccine strategies.

X.C.) 254P1D6B as a Target for Cellular Immune Responses

Vaccines and methods of preparing vaccines that contain an immunogenically effective amount of one or more HLA-binding peptides as described herein are further embodiments of the invention. Furthermore, vaccines in accordance with the invention encompass compositions of one or more of the claimed peptides. A peptide can be present in a vaccine individually. Alternatively, the peptide can exist as a homopolymer comprising multiple copies of the same peptide, or as a heteropolymer of various peptides. Polymers have the advantage of increased immunological reaction and, where different peptide epitopes are used to make up the polymer, the additional ability to induce antibodies and/or CTLs that react with different antigenic determinants of the pathogenic organism or tumor-related peptide targeted for an immune response. The composition can be a naturally occurring region of an antigen or can be prepared, e.g., recombinantly or by chemical synthesis.

Carriers that can be used with vaccines of the invention are well known in the art, and include, e.g., thyroglobulin, albumins such as human serum albumin, tetanus toxoid, polyamino acids such as poly L-lysine, poly L-glutamic acid, influenza, hepatitis B virus core protein, and the like. The vaccines can contain a physiologically tolerable (i.e., acceptable) diluent such as water, or saline, preferably phosphate buffered saline. The vaccines also typically include an adjuvant. Adjuvants such as incomplete Freund's adjuvant, aluminum phosphate, aluminum hydroxide, or alum are examples of materials well known in the art. Additionally, as disclosed herein, CTL responses can be primed by conjugating peptides of the invention to lipids, such as tripalmitoyl-S-glycerylcysteinlyseryl-serine (P₃CSS). Moreover, an adjuvant such as a synthetic cytosine-phosphorothioated-guanine-containing (CpG) oligonucleotides has been found to increase CTL responses 10- to 100-fold. (see, e.g. Davila and Celis, J. Immunol. 165:539-547 (2000))

Upon immunization with a peptide composition in accordance with the invention, via injection, aerosol, oral, transdermal, transmucosal, intrapleural, intrathecal, or other suitable routes, the immune system of the host responds to the vaccine by producing large amounts of CTLs and/or HTLs specific for the desired antigen. Consequently, the host becomes at least partially immune to later development of cells that express or overexpress 254P1D6B antigen, or derives at least some therapeutic benefit when the antigen was tumor-associated.

In some embodiments, it may be desirable to combine the class I peptide components with components that induce or facilitate neutralizing antibody and or helper T cell responses directed to the target antigen. A preferred embodiment of such a composition comprises class I and class II epitopes in accordance with the invention. An alternative embodiment of such a composition comprises a class I and/or class II epitope in accordance with the invention, along with a cross reactive HTL epitope such as PADRE™ (Epimmune, San Diego, Calif.) molecule (described e.g., in U.S. Pat. No. 5,736,142).

A vaccine of the invention can also include antigen-presenting cells (APC), such as dendritic cells (DC), as a vehicle to present peptides of the invention. Vaccine compositions can be created in vitro, following dendritic cell mobilization and harvesting, whereby loading of dendritic cells occurs in vitro. For example, dendritic cells are transfected, e.g., with a minigene in accordance with the invention, or are pulsed with peptides. The dendritic cell can then be administered to a patient to elicit immune responses in vivo. Vaccine compositions, either DNA- or peptide-based, can also be administered in vivo in combination with dendritic cell mobilization whereby loading of dendritic cells occurs in vivo.

Preferably, the following principles are utilized when selecting an array of epitopes for inclusion in a polyepitopic composition for use in a vaccine, or for selecting discrete epitopes to be included in a vaccine and/or to be encoded by nucleic acids such as a minigene. It is preferred that each of the following principles be balanced in order to make the selection. The multiple epitopes to be incorporated in a given vaccine composition may be, but need not be, contiguous in sequence in the native antigen from which the epitopes are derived.

1.) Epitopes are selected which, upon administration, mimic immune responses that have been observed to be correlated with tumor clearance. For HLA Class I this includes 3-4 epitopes that come from at least one tumor associated antigen (TAA). For HLA Class II a similar rationale is employed; again 3-4 epitopes are selected from at least one TAA (see, e.g., Rosenberg et al., Science 278:1447-1450). Epitopes from one TAA may be used in combination with epitopes from one or more additional TAAs to produce a vaccine that targets tumors with varying expression patterns of frequently-expressed TAAs.

2.) Epitopes are selected that have the requisite binding affinity established to be correlated with immunogenicity: for HLA Class I an IC₅₀ of 500 nM or less, often 200 nM or less; and for Class II an IC₅₀ of 1000 nM or less.

3.) Sufficient supermotif bearing-peptides, or a sufficient array of allele-specific motif-bearing peptides, are selected to give broad population coverage. For example, it is preferable to have at least 80% population coverage. A Monte Carlo analysis, a statistical evaluation known in the art, can be employed to assess the breadth, or redundancy of, population coverage.

4.) When selecting epitopes from cancer-related antigens it is often useful to select analogs because the patient may have developed tolerance to the native epitope.

5.) Of particular relevance are epitopes referred to as “nested epitopes.” Nested epitopes occur where at least two epitopes overlap in a given peptide sequence. A nested peptide sequence can comprise B cell, HLA class I and/or HLA class II epitopes. When providing nested epitopes, a general objective is to provide the greatest number of epitopes per sequence. Thus, an aspect is to avoid providing a peptide that is any longer than the amino terminus of the amino terminal epitope and the carboxyl terminus of the carboxyl terminal epitope in the peptide. When providing a multi-epitopic sequence, such as a sequence comprising nested epitopes, it is generally important to screen the sequence in order to insure that it does not have pathological or other deleterious biological properties.

6.) If a polyepitopic protein is created, or when creating a minigene, an objective is to generate the smallest peptide that encompasses the epitopes of interest. This principle is similar, if not the same as that employed when selecting a peptide comprising nested epitopes. However, with an artificial polyepitopic peptide, the size minimization objective is balanced against the need to integrate any spacer sequences between epitopes in the polyepitopic protein. Spacer amino acid residues can, for example, be introduced to avoid junctional epitopes (an epitope recognized by the immune system, not present in the target antigen, and only created by the man-made juxtaposition of epitopes), or to facilitate cleavage between epitopes and thereby enhance epitope presentation. Junctional epitopes are generally to be avoided because the recipient may generate an immune response to that non-native epitope. Of particular concern is a junctional epitope that is a “dominant epitope.” A dominant epitope may lead to such a zealous response that immune responses to other epitopes are diminished or suppressed.

7.) Where the sequences of multiple variants of the same target protein are present, potential peptide epitopes can also be selected on the basis of their conservancy. For example, a criterion for conservancy may define that the entire sequence of an HLA class I binding peptide or the entire 9-mer core of a class II binding peptide be conserved in a designated percentage of the sequences evaluated for a specific protein antigen.

X.C.1. Minigene Vaccines

A number of different approaches are available which allow simultaneous delivery of multiple epitopes. Nucleic acids encoding the peptides of the invention are a particularly useful embodiment of the invention. Epitopes for inclusion in a minigene are preferably selected according to the guidelines set forth in the previous section. A preferred means of administering nucleic acids encoding the peptides of the invention uses minigene constructs encoding a peptide comprising one or multiple epitopes of the invention.

The use of multi-epitope minigenes is described below and in, Ishioka et al., J. Immunol. 162:3915-3925, 1999; An, L. and Whitton, J. L., J. Virol. 71:2292, 1997; Thomson, S. A. et al., J. Immunol. 157:822, 1996; Whitton, J. L. et al., J. Virol. 67:348, 1993; Hanke, R. et al., Vaccine 16:426, 1998. For example, a multi-epitope DNA plasmid encoding supermotif- and/or motif-bearing epitopes derived 254P1D6B, the PADRE® universal helper T cell epitope or multiple HTL epitopes from 254P1D6B (see e.g., Tables VIII-XXI and XXII to XLIX), and an endoplasmic reticulum-translocating signal sequence can be engineered. A vaccine may also comprise epitopes that are derived from other TAAs.

The immunogenicity of a multi-epitopic minigene can be confirmed in transgenic mice to evaluate the magnitude of CTL induction responses against the epitopes tested. Further, the immunogenicity of DNA-encoded epitopes in vivo can be correlated with the in vitro responses of specific CTL lines against target cells transfected with the DNA plasmid. Thus, these experiments can show that the minigene serves to both: 1.) generate a CTL response and 2.) that the induced CTLs recognized cells expressing the encoded epitopes.

For example, to create a DNA sequence encoding the selected epitopes (minigene) for expression in human cells, the amino acid sequences of the epitopes may be reverse translated. A human codon usage table can be used to guide the codon choice for each amino acid. These epitope-encoding DNA sequences may be directly adjoined, so that when translated, a continuous polypeptide sequence is created. To optimize expression and/or immunogenicity, additional elements can be incorporated into the minigene design. Examples of amino acid sequences that can be reverse translated and included in the minigene sequence include: HLA class I epitopes, HLA class II epitopes, antibody epitopes, a ubiquitination signal sequence, and/or an endoplasmic reticulum targeting signal. In addition, HLA presentation of CTL and HTL epitopes may be improved by including synthetic (e.g. poly-alanine) or naturally-occurring flanking sequences adjacent to the CTL or HTL epitopes; these larger peptides comprising the epitope(s) are within the scope of the invention.

The minigene sequence may be converted to DNA by assembling oligonucleotides that encode the plus and minus strands of the minigene. Overlapping oligonucleotides (30-100 bases long) may be synthesized, phosphorylated, purified and annealed under appropriate conditions using well known techniques. The ends of the oligonucleotides can be joined, for example, using T4 DNA ligase. This synthetic minigene, encoding the epitope polypeptide, can then be cloned into a desired expression vector.

Standard regulatory sequences well known to those of skill in the art are preferably included in the vector to ensure expression in the target cells. Several vector elements are desirable: a promoter with a down-stream cloning site for minigene insertion; a polyadenylation signal for efficient transcription termination; an E. coli origin of replication; and an E. coli selectable marker (e.g. ampicillin or kanamycin resistance). Numerous promoters can be used for this purpose, e.g., the human cytomegalovirus (hCMV) promoter. See, e.g., U.S. Pat. Nos. 5,580,859 and 5,589,466 for other suitable promoter sequences.

Additional vector modifications may be desired to optimize minigene expression and immunogenicity. In some cases, introns are required for efficient gene expression, and one or more synthetic or naturally-occurring introns could be incorporated into the transcribed region of the minigene. The inclusion of mRNA stabilization sequences and sequences for replication in mammalian cells may also be considered for increasing minigene expression.

Once an expression vector is selected, the minigene is cloned into the polylinker region downstream of the promoter. This plasmid is transformed into an appropriate E. coli strain, and DNA is prepared using standard techniques. The orientation and DNA sequence of the minigene, as well as all other elements included in the vector, are confirmed using restriction mapping and DNA sequence analysis. Bacterial cells harboring the correct plasmid can be stored as a master cell bank and a working cell bank.

In addition, immunostimulatory sequences (ISSs or CpGs) appear to play a role in the immunogenicity of DNA vaccines. These sequences may be included in the vector, outside the minigene coding sequence, if desired to enhance immunogenicity.

In some embodiments, a bi-cistronic expression vector which allows production of both the minigene-encoded epitopes and a second protein (included to enhance or decrease immunogenicity) can be used. Examples of proteins or polypeptides that could beneficially enhance the immune response if co-expressed include cytokines (e.g., IL-2, IL-12, GM-CSF), cytokine-inducing molecules (e.g., LeIF), costimulatory molecules, or for HTL responses, pan-DR binding proteins (PADRE™, Epimmune, San Diego, Calif.). Helper (HTL) epitopes can be joined to intracellular targeting signals and expressed separately from expressed CTL epitopes; this allows direction of the HTL epitopes to a cell compartment different than that of the CTL epitopes. If required, this could facilitate more efficient entry of HTL epitopes into the HLA class II pathway, thereby improving HTL induction. In contrast to HTL or CTL induction, specifically decreasing the immune response by co-expression of immunosuppressive molecules (e.g. TGF-β) may be beneficial in certain diseases.

Therapeutic quantities of plasmid DNA can be produced for example, by fermentation in E. coli, followed by purification. Aliquots from the working cell bank are used to inoculate growth medium, and grown to saturation in shaker flasks or a bioreactor according to well-known techniques. Plasmid DNA can be purified using standard bioseparation technologies such as solid phase anion-exchange resins supplied by QIAGEN, Inc. (Valencia, Calif.). If required, supercoiled DNA can be isolated from the open circular and linear forms using gel electrophoresis or other methods.

Purified plasmid DNA can be prepared for injection using a variety of formulations. The simplest of these is reconstitution of lyophilized DNA in sterile phosphate-buffer saline (PBS). This approach, known as “naked DNA,” is currently being used for intramuscular (IM) administration in clinical trials. To maximize the immunotherapeutic effects of minigene DNA vaccines, an alternative method for formulating purified plasmid DNA may be desirable. A variety of methods have been described, and new techniques may become available. Cationic lipids, glycolipids, and fusogenic liposomes can also be used in the formulation (see, e.g., as described by WO 93/24640; Mannino & Gould-Fogerite, BioTechniques 6(7): 682 (1988); U.S. Pat. No. 5,279,833; WO 91/06309; and Felgner, et al., Proc. Nat'l Acad. Sci. USA 84:7413 (1987). In addition, peptides and compounds referred to collectively as protective, interactive, non-condensing compounds (PINC) could also be complexed to purified plasmid DNA to influence variables such as stability, intramuscular dispersion, or trafficking to specific organs or cell types.

Target cell sensitization can be used as a functional assay for expression and HLA class I presentation of minigene-encoded CTL epitopes. For example, the plasmid DNA is introduced into a mammalian cell line that is suitable as a target for standard CTL chromium release assays. The transfection method used will be dependent on the final formulation. Electroporation can be used for “naked” DNA, whereas cationic lipids allow direct in vitro transfection. A plasmid expressing green fluorescent protein (GFP) can be co-transfected to allow enrichment of transfected cells using fluorescence activated cell sorting (FACS). These cells are then chromium-51 (⁵¹Cr) labeled and used as target cells for epitope-specific CTL lines; cytolysis, detected by ⁵¹Cr release, indicates both production of, and HLA presentation of, minigene-encoded CTL epitopes. Expression of HTL epitopes may be evaluated in an analogous manner using assays to assess HTL activity.

In vivo immunogenicity is a second approach for functional testing of minigene DNA formulations. Transgenic mice expressing appropriate human HLA proteins are immunized with the DNA product. The dose and route of administration are formulation dependent (e.g., IM for DNA in PBS, intraperitoneal (i.p.) for lipid-complexed DNA). Twenty-one days after immunization, splenocytes are harvested and restimulated for one week in the presence of peptides encoding each epitope being tested. Thereafter, for CTL effector cells, assays are conducted for cytolysis of peptide-loaded, ⁵¹Cr-labeled target cells using standard techniques. Lysis of target cells that were sensitized by HLA loaded with peptide epitopes, corresponding to minigene-encoded epitopes, demonstrates DNA vaccine function for in vivo induction of CTLs. Immunogenicity of HTL epitopes is confirmed in transgenic mice in an analogous manner.

Alternatively, the nucleic acids can be administered using ballistic delivery as described, for instance, in U.S. Pat. No. 5,204,253. Using this technique, particles comprised solely of DNA are administered. In a further alternative embodiment, DNA can be adhered to particles, such as gold particles.

Minigenes can also be delivered using other bacterial or viral delivery systems well known in the art, e.g., an expression construct encoding epitopes of the invention can be incorporated into a viral vector such as vaccinia.

X.C.2. Combinations of CTL Peptides with Helper Peptides

Vaccine compositions comprising CTL peptides of the invention can be modified, e.g., analoged, to provide desired attributes, such as improved serum half life, broadened population coverage or enhanced immunogenicity.

For instance, the ability of a peptide to induce CTL activity can be enhanced by linking the peptide to a sequence which contains at least one epitope that is capable of inducing a T helper cell response. Although a CTL peptide can be directly linked to a T helper peptide, often CTL epitope/HTL epitope conjugates are linked by a spacer molecule. The spacer is typically comprised of relatively small, neutral molecules, such as amino acids or amino acid mimetics, which are substantially uncharged under physiological conditions. The spacers are typically selected from, e.g., Ala, Gly, or other neutral spacers of nonpolar amino acids or neutral polar amino acids. It will be understood that the optionally present spacer need not be comprised of the same residues and thus may be a hetero- or homo-oligomer. When present, the spacer will usually be at least one or two residues, more usually three to six residues and sometimes 10 or more residues. The CTL peptide epitope can be linked to the T helper peptide epitope either directly or via a spacer either at the amino or carboxy terminus of the CTL peptide. The amino terminus of either the immunogenic peptide or the T helper peptide may be acylated.

In certain embodiments, the T helper peptide is one that is recognized by T helper cells present in a majority of a genetically diverse population. This can be accomplished by selecting peptides that bind to many, most, or all of the HLA class II molecules. Examples of such amino acid bind many HLA Class II molecules include sequences from antigens such as tetanus toxoid at positions 830-843 QYIKANSKFIGITE; (SEQ ID NO:13), Plasmodium falciparum circumsporozoite (CS) protein at positions 378-398 DIEKKIAKMEKASSVFNVVNS; (SEQ ID NO:14), and Streptococcus 18 kD protein at positions 116-131 GAVDSILGGVATYGAA; (SEQ ID NO:15). Other examples include peptides bearing a DR 1-4-7 supermotif, or either of the DR3 motifs.

Alternatively, it is possible to prepare synthetic peptides capable of stimulating T helper lymphocytes, in a loosely HLA-restricted fashion, using amino acid sequences not found in nature (see, e.g., PCT publication WO 95/07707). These synthetic compounds called Pan-DR-binding epitopes (e.g., PADRE™, Epimmune, Inc., San Diego, Calif.) are designed, most preferably, to bind most HLA-DR (human HLA class II) molecules. For instance, a pan-DR-binding epitope peptide having the formula: xKXVAAWTLKAAx (SEQ ID NO:16), where “X” is either cyclohexylalanine, phenylalanine, or tyrosine, and a is either D-alanine or L-alanine, has been found to bind to most HLA-DR alleles, and to stimulate the response of T helper lymphocytes from most individuals, regardless of their HLA type. An alternative of a pan-DR binding epitope comprises all “L” natural amino acids and can be provided in the form of nucleic acids that encode the epitope.

HTL peptide epitopes can also be modified to alter their biological properties. For example, they can be modified to include D-amino acids to increase their resistance to proteases and thus extend their serum half life, or they can be conjugated to other molecules such as lipids, proteins, carbohydrates, and the like to increase their biological activity. For example, a T helper peptide can be conjugated to one or more palmitic acid chains at either the amino or carboxyl termini.

X.C.3. Combinations of CTL Peptides with T Cell Priming Agents

In some embodiments it may be desirable to include in the pharmaceutical compositions of the invention at least one component which primes B lymphocytes or T lymphocytes. Lipids have been identified as agents capable of priming CTL in vivo. For example, palmitic acid residues can be attached to the ε- and α-amino groups of a lysine residue and then linked, e.g., via one or more linking residues such as Gly, Gly-Gly-, Ser, Ser-Ser, or the like, to an immunogenic peptide. The lipidated peptide can then be administered either directly in a micelle or particle, incorporated into a liposome, or emulsified in an adjuvant, e.g., incomplete Freund's adjuvant. In a preferred embodiment, a particularly effective immunogenic composition comprises palmitic acid attached to ε- and α-amino groups of Lys, which is attached via linkage, e.g., Ser-Ser, to the amino terminus of the immunogenic peptide.

As another example of lipid priming of CTL responses, E. coli lipoproteins, such as tripalmitoyl-S-glycerylcysteinlyseryl-serine (P₃CSS) can be used to prime virus specific CTL when covalently attached to an appropriate peptide (see, e.g., Deres, et al., Nature 342:561, 1989). Peptides of the invention can be coupled to P₃CSS, for example, and the lipopeptide administered to an individual to prime specifically an immune response to the target antigen. Moreover, because the induction of neutralizing antibodies can also be primed with P₃CSS-conjugated epitopes, two such compositions can be combined to more effectively elicit both humoral and cell-mediated responses.

X.C.4. Vaccine Compositions Comprising DC Pulsed with CTL and/or HTL Peptides

An embodiment of a vaccine composition in accordance with the invention comprises ex vivo administration of a cocktail of epitope-bearing peptides to PBMC, or isolated DC therefrom, from the patient's blood. A pharmaceutical to facilitate harvesting of DC can be used, such as Progenipoietin™ (Pharmacia-Monsanto, St. Louis, Mo.) or GM-CSF/IL-4. After pulsing the DC with peptides and prior to reinfusion into patients, the DC are washed to remove unbound peptides. In this embodiment, a vaccine comprises peptide-pulsed DCs which present the pulsed peptide epitopes complexed with HLA molecules on their surfaces.

The DC can be pulsed ex vivo with a cocktail of peptides, some of which stimulate CTL responses to 254P1D6B. Optionally, a helper T cell (HTL) peptide, such as a natural or artificial loosely restricted HLA Class II peptide, can be included to facilitate the CTL response. Thus, a vaccine in accordance with the invention is used to treat a cancer which expresses or overexpresses 254P1D6B.

X.D. Adoptive Immunotherapy

Antigenic 254P1D6B-related peptides are used to elicit a CTL and/or HTL response ex vivo, as well. The resulting CTL or HTL cells, can be used to treat tumors in patients that do not respond to other conventional forms of therapy, or will not respond to a therapeutic vaccine peptide or nucleic acid in accordance with the invention. Ex vivo CTL or HTL responses to a particular antigen are induced by incubating in tissue culture the patient's, or genetically compatible, CTL or HTL precursor cells together with a source of antigen-presenting cells (APC), such as dendritic cells, and the appropriate immunogenic peptide. After an appropriate incubation time (typically about 7-28 days), in which the precursor cells are activated and expanded into effector cells, the cells are infused back into the patient, where they will destroy (CTL) or facilitate destruction (HTL) of their specific target cell (e.g., a tumor cell). Transfected dendritic cells may also be used as antigen presenting cells.

X.E. Administration of Vaccines for Therapeutic or Prophylactic Purposes

Pharmaceutical and vaccine compositions of the invention are typically used to treat and/or prevent a cancer that expresses or overexpresses 254P1D6B. In therapeutic applications, peptide and/or nucleic acid compositions are administered to a patient in an amount sufficient to elicit an effective B cell, CTL and/or HTL response to the antigen and to cure or at least partially arrest or slow symptoms and/or complications. An amount adequate to accomplish this is defined as “therapeutically effective dose.” Amounts effective for this use will depend on, e.g., the particular composition administered, the manner of administration, the stage and severity of the disease being treated, the weight and general state of health of the patient, and the judgment of the prescribing physician.

For pharmaceutical compositions, the immunogenic peptides of the invention, or DNA encoding them, are generally administered to an individual already bearing a tumor that expresses 254P1D6B. The peptides or DNA encoding them can be administered individually or as fusions of one or more peptide sequences. Patients can be treated with the immunogenic peptides separately or in conjunction with other treatments, such as surgery, as appropriate.

For therapeutic use, administration should generally begin at the first diagnosis of 254P1D6B-associated cancer. This is followed by boosting doses until at least symptoms are substantially abated and for a period thereafter. The embodiment of the vaccine composition (i.e., including, but not limited to embodiments such as peptide cocktails, polyepitopic polypeptides, minigenes, or TAA-specific CTLs or pulsed dendritic cells) delivered to the patient may vary according to the stage of the disease or the patient's health status. For example, in a patient with a tumor that expresses 254P1D6B, a vaccine comprising 254P1D6B-specific CTL may be more efficacious in killing tumor cells in patient with advanced disease than alternative embodiments.

It is generally important to provide an amount of the peptide epitope delivered by a mode of administration sufficient to stimulate effectively a cytotoxic T cell response; compositions which stimulate helper T cell responses can also be given in accordance with this embodiment of the invention.

The dosage for an initial therapeutic immunization generally occurs in a unit dosage range where the lower value is about 1, 5, 50, 500, or 1,000 μg and the higher value is about 10,000; 20,000; 30,000; or 50,000 μg. Dosage values for a human typically range from about 500 μg to about 50,000 μg per 70 kilogram patient. Boosting dosages of between about 1.0 μg to about 50,000 μg of peptide pursuant to a boosting regimen over weeks to months may be administered depending upon the patient's response and condition as determined by measuring the specific activity of CTL and HTL obtained from the patient's blood. Administration should continue until at least clinical symptoms or laboratory tests indicate that the neoplasia, has been eliminated or reduced and for a period thereafter. The dosages, routes of administration, and dose schedules are adjusted in accordance with methodologies known in the art.

In certain embodiments, the peptides and compositions of the present invention are employed in serious disease states, that is, life-threatening or potentially life threatening situations. In such cases, as a result of the minimal amounts of extraneous substances and the relative nontoxic nature of the peptides in preferred compositions of the invention, it is possible and may be felt desirable by the treating physician to administer substantial excesses of these peptide compositions relative to these stated dosage amounts.

The vaccine compositions of the invention can also be used purely as prophylactic agents. Generally the dosage for an initial prophylactic immunization generally occurs in a unit dosage range where the lower value is about 1, 5, 50, 500, or 1000 μg and the higher value is about 10,000; 20,000; 30,000; or 50,000 μg. Dosage values for a human typically range from about 500 μg to about 50,000 μg per 70 kilogram patient. This is followed by boosting dosages of between about 1.0 μg to about 50,000 μg of peptide administered at defined intervals from about four weeks to six months after the initial administration of vaccine. The immunogenicity of the vaccine can be assessed by measuring the specific activity of CTL and HTL obtained from a sample of the patient's blood.

The pharmaceutical compositions for therapeutic treatment are intended for parenteral, topical, oral, nasal, intrathecal, or local (e.g. as a cream or topical ointment) administration. Preferably, the pharmaceutical compositions are administered parentally, e.g., intravenously, subcutaneously, intradermally, or intramuscularly. Thus, the invention provides compositions for parenteral administration which comprise a solution of the immunogenic peptides dissolved or suspended in an acceptable carrier, preferably an aqueous carrier.

A variety of aqueous carriers may be used, e.g., water, buffered water, 0.8% saline, 0.3% glycine, hyaluronic acid and the like. These compositions may be sterilized by conventional, well-known sterilization techniques, or may be sterile filtered. The resulting aqueous solutions may be packaged for use as is, or lyophilized, the lyophilized preparation being combined with a sterile solution prior to administration.

The compositions may contain pharmaceutically acceptable auxiliary substances as required to approximate physiological conditions, such as pH-adjusting and buffering agents, tonicity adjusting agents, wetting agents, preservatives, and the like, for example, sodium acetate, sodium lactate, sodium chloride, potassium chloride, calcium chloride, sorbitan monolaurate, triethanolamine oleate, etc.

The concentration of peptides of the invention in the pharmaceutical formulations can vary widely, i.e., from less than about 0.1%, usually at or at least about 2% to as much as 20% to 50% or more by weight, and will be selected primarily by fluid volumes, viscosities, etc., in accordance with the particular mode of administration selected.

A human unit dose form of a composition is typically included in a pharmaceutical composition that comprises a human unit dose of an acceptable carrier, in one embodiment an aqueous carrier, and is administered in a volume/quantity that is known by those of skill in the art to be used for administration of such compositions to humans (see, e.g., Remington's Pharmaceutical Sciences, 17^(th) Edition, A. Gennaro, Editor, Mack Publishing Co., Easton, Pa., 1985). For example a peptide dose for initial immunization can be from about 1 to about 50,000 μg, generally 100-5,000 μg, for a 70 kg patient. For example, for nucleic acids an initial immunization may be performed using an expression vector in the form of naked nucleic acid administered IM (or SC or ID) in the amounts of 0.5-5 mg at multiple sites. The nucleic acid (0.1 to 1000 μg) can also be administered using a gene gun. Following an incubation period of 3-4 weeks, a booster dose is then administered. The booster can be recombinant fowlpox virus administered at a dose of 5-107 to 5×10⁹ pfu.

For antibodies, a treatment generally involves repeated administration of the anti-254P1D6B antibody preparation, via an acceptable route of administration such as intravenous injection (IV), typically at a dose in the range of about 0.1 to about 10 mg/kg body weight. In general, doses in the range of 10-500 mg mAb per week are effective and well tolerated. Moreover, an initial loading dose of approximately 4 mg/kg patient body weight IV, followed by weekly doses of about 2 mg/kg IV of the anti-254P1D6B mAb preparation represents an acceptable dosing regimen. As appreciated by those of skill in the art, various factors can influence the ideal dose in a particular case. Such factors include, for example, half life of a composition, the binding affinity of an Ab, the immunogenicity of a substance, the degree of 254P1D6B expression in the patient, the extent of circulating shed 254P1D6B antigen, the desired steady-state concentration level, frequency of treatment, and the influence of chemotherapeutic or other agents used in combination with the treatment method of the invention, as well as the health status of a particular patient. Non-limiting preferred human unit doses are, for example, 500 μg-1 mg, 1 mg-50 mg, 50 mg-100 mg, 100 mg-200 mg, 200 mg-300 mg, 400 mg-500 mg, 500 mg-600 mg, 600 mg-700 mg, 700 mg-800 mg, 800 mg-900 mg, 900 mg-1 g, or 1 mg-700 mg. In certain embodiments, the dose is in a range of 2-5 mg/kg body weight, e.g., with follow on weekly doses of 1-3 mg/kg; 0.5 mg, 1, 2, 3, 4, 5, 6, 7, 8, 9, 10 mg/kg body weight followed, e.g., in two, three or four weeks by weekly doses; 0.5-10 mg/kg body weight, e.g., followed in two, three or four weeks by weekly doses; 225, 250, 275, 300, 325, 350, 375, 400 mg m² of body area weekly; 1-600 mg m² of body area weekly; 225-400 mg m² of body area weekly; these does can be followed by weekly doses for 2, 3, 4, 5, 6, 7, 8, 9, 19, 11, 12 or more weeks.

In one embodiment, human unit dose forms of polynucleotides comprise a suitable dosage range or effective amount that provides any therapeutic effect. As appreciated by one of ordinary skill in the art a therapeutic effect depends on a number of factors, including the sequence of the polynucleotide, molecular weight of the polynucleotide and route of administration. Dosages are generally selected by the physician or other health care professional in accordance with a variety of parameters known in the art, such as severity of symptoms, history of the patient and the like. Generally, for a polynucleotide of about 20 bases, a dosage range may be selected from, for example, an independently selected lower limit such as about 0.1, 0.25, 0.5, 1, 2, 5, 10, 20, 30, 40, 50, 60, 70, 80, 90, 100, 200, 300, 400 or 500 mg/kg up to an independently selected upper limit, greater than the lower limit, of about 60, 80, 100, 200, 300, 400, 500, 750, 1000, 1500, 2000, 3000, 4000, 5000, 6000, 7000, 8000, 9000 or 10,000 mg/kg. For example, a dose may be about any of the following: 0.1 to 100 mg/kg, 0.1 to 50 mg/kg, 0.1 to 25 mg/kg, 0.1 to 10 mg/kg, 1 to 500 mg/kg, 100 to 400 mg/kg, 200 to 300 mg/kg, 1 to 100 mg/kg, 100 to 200 mg/kg, 300 to 400 mg/kg, 400 to 500 mg/kg, 500 to 1000 mg/kg, 500 to 5000 mg/kg, or 500 to 10,000 mg/kg. Generally, parenteral routes of administration may require higher doses of polynucleotide compared to more direct application to the nucleotide to diseased tissue, as do polynucleotides of increasing length.

In one embodiment, human unit dose forms of T-cells comprise a suitable dosage range or effective amount that provides any therapeutic effect. As appreciated by one of ordinary skill in the art, a therapeutic effect depends on a number of factors. Dosages are generally selected by the physician or other health care professional in accordance with a variety of parameters known in the art, such as severity of symptoms, history of the patient and the like. A dose may be about 10⁴ cells to about 10⁶ cells, about 10⁶ cells to about 10⁸ cells, about 10⁸ to about 10¹¹ cells, or about 10⁸ to about 5×10¹⁰ cells. A dose may also about 10⁶ cells/m² to about 10¹⁰ cells/m², or about 10⁶ cells/m² to about 10⁸ cells/m².

Proteins(s) of the invention, and/or nucleic acids encoding the protein(s), can also be administered via liposomes, which may also serve to: 1) target the proteins(s) to a particular tissue, such as lymphoid tissue; 2) to target selectively to diseases cells; or, 3) to increase the half-life of the peptide composition. Liposomes include emulsions, foams, micelles, insoluble monolayers, liquid crystals, phospholipid dispersions, lamellar layers and the like. In these preparations, the peptide to be delivered is incorporated as part of a liposome, alone or in conjunction with a molecule which binds to a receptor prevalent among lymphoid cells, such as monoclonal antibodies which bind to the CD45 antigen, or with other therapeutic or immunogenic compositions. Thus, liposomes either filled or decorated with a desired peptide of the invention can be directed to the site of lymphoid cells, where the liposomes then deliver the peptide compositions. Liposomes for use in accordance with the invention are formed from standard vesicle-forming lipids, which generally include neutral and negatively charged phospholipids and a sterol, such as cholesterol. The selection of lipids is generally guided by consideration of, e.g., liposome size, acid liability and stability of the liposomes in the blood stream. A variety of methods are available for preparing liposomes, as described in, e.g., Szoka, et al., Ann. Rev. Biophys. Bioeng. 9:467 (1980), and U.S. Pat. Nos. 4,235,871, 4,501,728, 4,837,028, and 5,019,369.

For targeting cells of the immune system, a ligand to be incorporated into the liposome can include, e.g., antibodies or fragments thereof specific for cell surface determinants of the desired immune system cells. A liposome suspension containing a peptide may be administered intravenously, locally, topically, etc. in a dose which varies according to, inter alia, the manner of administration, the peptide being delivered, and the stage of the disease being treated.

For solid compositions, conventional nontoxic solid carriers may be used which include, for example, pharmaceutical grades of mannitol, lactose, starch, magnesium stearate, sodium saccharin, talcum, cellulose, glucose, sucrose, magnesium carbonate, and the like. For oral administration, a pharmaceutically acceptable nontoxic composition is formed by incorporating any of the normally employed excipients, such as those carriers previously listed, and generally 10-95% of active ingredient, that is, one or more peptides of the invention, and more preferably at a concentration of 25%-75%.

For aerosol administration, immunogenic peptides are preferably supplied in finely divided form along with a surfactant and propellant. Typical percentages of peptides are about 0.01%-20% by weight, preferably about 1%-10%. The surfactant must, of course, be nontoxic, and preferably soluble in the propellant. Representative of such agents are the esters or partial esters of fatty acids containing from about 6 to 22 carbon atoms, such as caproic, octanoic, lauric, palmitic, stearic, linoleic, linolenic, olesteric and oleic acids with an aliphatic polyhydric alcohol or its cyclic anhydride. Mixed esters, such as mixed or natural glycerides may be employed. The surfactant may constitute about 0.1%-20% by weight of the composition, preferably about 0.25-5%. The balance of the composition is ordinarily propellant. A carrier can also be included, as desired, as with, e.g., lecithin for intranasal delivery.

XI.) Diagnostic and Prognostic Embodiments of 254P1D6B.

As disclosed herein, 254P1D6B polynucleotides, polypeptides, reactive cytotoxic T cells (CTL), reactive helper T cells (HTL) and anti-polypeptide antibodies are used in well known diagnostic, prognostic and therapeutic assays that examine conditions associated with dysregulated cell growth such as cancer, in particular the cancers listed in Table I (see, e.g., both its specific pattern of tissue expression as well as its overexpression in certain cancers as described for example in the Example entitled “Expression analysis of 254P1D6B in normal tissues, and patient specimens”).

254P1D6B can be analogized to a prostate associated antigen PSA, the archetypal marker that has been used by medical practitioners for years to identify and monitor the presence of prostate cancer (see, e.g., Merrill et al., J. Urol. 163(2): 503-5120 (2000); Polascik et al., J. Urol. August; 162(2):293-306 (1999) and Fortier et al., J. Nat. Cancer Inst. 91(19): 1635-1640 (1999)). A variety of other diagnostic markers are also used in similar contexts including p53 and K-ras (see, e.g., Tulchinsky et al., Int J Mol Med 1999 July 4(1):99-102 and Minimoto et al., Cancer Detect Prev 2000; 24(1):1-12). Therefore, this disclosure of 254P1D6B polynucleotides and polypeptides (as well as 254P1D6B polynucleotide probes and anti-254P1D6B antibodies used to identify the presence of these molecules) and their properties allows skilled artisans to utilize these molecules in methods that are analogous to those used, for example, in a variety of diagnostic assays directed to examining conditions associated with cancer.

Typical embodiments of diagnostic methods which utilize the 254P1D6B polynucleotides, polypeptides, reactive T cells and antibodies are analogous to those methods from well-established diagnostic assays, which employ, e.g., PSA polynucleotides, polypeptides, reactive T cells and antibodies. For example, just as PSA polynucleotides are used as probes (for example in Northern analysis, see, e.g., Sharief et al., Biochem. Mol. Biol. Int. 33(3):567-74 (1994)) and primers (for example in PCR analysis, see, e.g., Okegawa et al., J. Urol. 163(4): 1189-1190 (2000)) to observe the presence and/or the level of PSA mRNAs in methods of monitoring PSA overexpression or the metastasis of prostate cancers, the 254P1D6B polynucleotides described herein can be utilized in the same way to detect 254P1D6B overexpression or the metastasis of prostate and other cancers expressing this gene. Alternatively, just as PSA polypeptides are used to generate antibodies specific for PSA which can then be used to observe the presence and/or the level of PSA proteins in methods to monitor PSA protein overexpression (see, e.g., Stephan et al., Urology 55(4):560-3 (2000)) or the metastasis of prostate cells (see, e.g., Alanen et al., Pathol. Res. Pract. 192(3):233-7 (1996)), the 254P1D6B polypeptides described herein can be utilized to generate antibodies for use in detecting 254P1D6B overexpression or the metastasis of prostate cells and cells of other cancers expressing this gene.

Specifically, because metastases involves the movement of cancer cells from an organ of origin (such as the lung or prostate gland etc.) to a different area of the body (such as a lymph node), assays which examine a biological sample for the presence of cells expressing 254P1D6B polynucleotides and/or polypeptides can be used to provide evidence of metastasis. For example, when a biological sample from tissue that does not normally contain 254P1D6B-expressing cells (lymph node) is found to contain 254P1D6B-expressing cells such as the 254P1D6B expression seen in LAPC4 and LAPC9, xenografts isolated from lymph node and bone metastasis, respectively, this finding is indicative of metastasis.

Alternatively 254P1D6B polynucleotides and/or polypeptides can be used to provide evidence of cancer, for example, when cells in a biological sample that do not normally express 254P1D6B or express 254P1D6B at a different level are found to express 254P1D6B or have an increased expression of 254P1D6B (see, e.g., the 254P1D6B expression in the cancers listed in Table I and in patient samples etc. shown in the accompanying Figures). In such assays, artisans may further wish to generate supplementary evidence of metastasis by testing the biological sample for the presence of a second tissue restricted marker (in addition to 254P1D6B) such as PSA, PSCA etc. (see, e.g., Alanen et al., Pathol. Res. Pract. 192(3): 233-237 (1996)).

The use of immunohistochemistry to identify the presence of a 254P1D6B polypeptide within a tissue section can indicate an altered state of certain cells within that tissue. It is well understood in the art that the ability of an antibody to localize to a polypeptide that is expressed in cancer cells is a way of diagnosing presence of disease, disease stage, progression and/or tumor aggressiveness. Such an antibody can also detect an altered distribution of the polypeptide within the cancer cells, as compared to corresponding non-malignant tissue.

The 254P1D6B polypeptide and immunogenic compositions are also useful in view of the phenomena of altered subcellular protein localization in disease states. Alteration of cells from normal to diseased state causes changes in cellular morphology and is often associated with changes in subcellular protein localization/distribution. For example, cell membrane proteins that are expressed in a polarized manner in normal cells can be altered in disease, resulting in distribution of the protein in a non-polar manner over the whole cell surface.

The phenomenon of altered subcellular protein localization in a disease state has been demonstrated with MUC1 and Her2 protein expression by use of immunohistochemical means. Normal epithelial cells have a typical apical distribution of MUC1, in addition to some supranuclear localization of the glycoprotein, whereas malignant lesions often demonstrate an apolar staining pattern (Diaz et al., The Breast Journal, 7; 40-45 (2001); Zhang et al., Clinical Cancer Research, 4; 2669-2676 (1998): Cao, et al., The Journal of Histochemistry and Cytochemistry, 45: 1547-1557 (1997)). In addition, normal breast epithelium is either negative for Her2 protein or exhibits only a basolateral distribution whereas malignant cells can express the protein over the whole cell surface (De Potter, et al., International Journal of Cancer, 44; 969-974 (1989): McCormick, et al., 117; 935-943 (2002)). Alternatively, distribution of the protein may be altered from a surface only localization to include diffuse cytoplasmic expression in the diseased state. Such an example can be seen with MUC1 (Diaz, et al., The Breast Journal, 7: 40-45 (2001)).

Alteration in the localization/distribution of a protein in the cell, as detected by immunohistochemical methods, can also provide valuable information concerning the favorability of certain treatment modalities. This last point is illustrated by a situation where a protein may be intracellular in normal tissue, but cell surface in malignant cells; the cell surface location makes the cells favorably amenable to antibody-based diagnostic and treatment regimens. When such an alteration of protein localization occurs for 254P1D6B, the 254P1D6B protein and immune responses related thereto are very useful. Accordingly, the ability to determine whether alteration of subcellular protein localization occurred for 24P4C12 make the 254P1D6B protein and immune responses related thereto very useful. Use of the 254P1D6B compositions allows those skilled in the art to make important diagnostic and therapeutic decisions.

Immunohistochemical reagents specific to 254P1D6B are also useful to detect metastases of tumors expressing 254P1D6B when the polypeptide appears in tissues where 254P1D6B is not normally produced.

Thus, 254P1D6B polypeptides and antibodies resulting from immune responses thereto are useful in a variety of important contexts such as diagnostic, prognostic, preventative and/or therapeutic purposes known to those skilled in the art.

Just as PSA polynucleotide fragments and polynucleotide variants are employed by skilled artisans for use in methods of monitoring PSA, 254P1D6B polynucleotide fragments and polynucleotide variants are used in an analogous manner. In particular, typical PSA polynucleotides used in methods of monitoring PSA are probes or primers which consist of fragments of the PSA cDNA sequence. Illustrating this, primers used to PCR amplify a PSA polynucleotide must include less than the whole PSA sequence to function in the polymerase chain reaction. In the context of such PCR reactions, skilled artisans generally create a variety of different polynucleotide fragments that can be used as primers in order to amplify different portions of a polynucleotide of interest or to optimize amplification reactions (see, e.g., Caetano-Anolles, G. Biotechniques 25(3): 472-476, 478-480 (1998); Robertson et al., Methods Mol. Biol. 98:121-154 (1998)). An additional illustration of the use of such fragments is provided in the Example entitled “Expression analysis of 254P1D6B in normal tissues, and patient specimens,” where a 254P1D6B polynucleotide fragment is used as a probe to show the expression of 254P1D6B RNAs in cancer cells. In addition, variant polynucleotide sequences are typically used as primers and probes for the corresponding mRNAs in PCR and Northern analyses (see, e.g., Sawai et al., Fetal Diagn. Ther. 1996 November-December 11(6):407-13 and Current Protocols In Molecular Biology, Volume 2, Unit 2, Frederick M. Ausubel et al. eds., 1995)). Polynucleotide fragments and variants are useful in this context where they are capable of binding to a target polynucleotide sequence (e.g., a 254P1D6B polynucleotide shown in FIG. 2 or variant thereof) under conditions of high stringency.

Furthermore, PSA polypeptides which contain an epitope that can be recognized by an antibody or T cell that specifically binds to that epitope are used in methods of monitoring PSA. 254P1D6B polypeptide fragments and polypeptide analogs or variants can also be used in an analogous manner. This practice of using polypeptide fragments or polypeptide variants to generate antibodies (such as anti-PSA antibodies or T cells) is typical in the art with a wide variety of systems such as fusion proteins being used by practitioners (see, e.g., Current Protocols In Molecular Biology, Volume 2, Unit 16, Frederick M. Ausubel et al. eds., 1995). In this context, each epitope(s) functions to provide the architecture with which an antibody or T cell is reactive. Typically, skilled artisans create a variety of different polypeptide fragments that can be used in order to generate immune responses specific for different portions of a polypeptide of interest (see, e.g., U.S. Pat. No. 5,840,501 and U.S. Pat. No. 5,939,533). For example it may be preferable to utilize a polypeptide comprising one of the 254P1D6B biological motifs discussed herein or a motif-bearing subsequence which is readily identified by one of skill in the art based on motifs available in the art. Polypeptide fragments, variants or analogs are typically useful in this context as long as they comprise an epitope capable of generating an antibody or T cell specific for a target polypeptide sequence (e.g. a 254P1D6B polypeptide shown in FIG. 3).

As shown herein, the 254P1D6B polynucleotides and polypeptides (as well as the 254P1D6B polynucleotide probes and anti-254P1D6B antibodies or T cells used to identify the presence of these molecules) exhibit specific properties that make them useful in diagnosing cancers such as those listed in Table I. Diagnostic assays that measure the presence of 254P1D6B gene products, in order to evaluate the presence or onset of a disease condition described herein, such as prostate cancer, are used to identify patients for preventive measures or further monitoring, as has been done so successfully with PSA. Moreover, these materials satisfy a need in the art for molecules having similar or complementary characteristics to PSA in situations where, for example, a definite diagnosis of metastasis of prostatic origin cannot be made on the basis of a test for PSA alone (see, e.g., Alanen et al., Pathol. Res. Pract. 192(3): 233-237 (1996)), and consequently, materials such as 254P1D6B polynucleotides and polypeptides (as well as the 254P1D6B polynucleotide probes and anti-254P1D6B antibodies used to identify the presence of these molecules) need to be employed to confirm a metastases of prostatic origin.

Finally, in addition to their use in diagnostic assays, the 254P1D6B polynucleotides disclosed herein have a number of other utilities such as their use in the identification of ontogenetic associated chromosomal abnormalities in the chromosomal region to which the 254P1D6B gene maps (see the Example entitled “Chromosomal Mapping of 254P1D6B” below). Moreover, in addition to their use in diagnostic assays, the 254P1D6B-related proteins and polynucleotides disclosed herein have other utilities such as their use in the forensic analysis of tissues of unknown origin (see, e.g., Takahama K Forensic Sci Int 1996 Jun. 28; 80(1-2): 63-9).

Additionally, 254P1D6B-related proteins or polynucleotides of the invention can be used to treat a pathologic condition characterized by the over-expression of 254P1D6B. For example, the amino acid or nucleic acid sequence of FIG. 2 or FIG. 3, or fragments of either, can be used to generate an immune response to a 254P1D6B antigen. Antibodies or other molecules that react with 254P1D6B can be used to modulate the function of this molecule, and thereby provide a therapeutic benefit.

XII.) Inhibition of 254P1D6B Protein Function

The invention includes various methods and compositions for inhibiting the binding of 254P1D6B to its binding partner or its association with other protein(s) as well as methods for inhibiting 254P1D6B function.

XII.A.) Inhibition of 254P1D6B with Intracellular Antibodies

In one approach, a recombinant vector that encodes single chain antibodies that specifically bind to 254P1D6B are introduced into 254P1D6B expressing cells via gene transfer technologies. Accordingly, the encoded single chain anti-254P1D6B antibody is expressed intracellularly, binds to 254P1D6B protein, and thereby inhibits its function. Methods for engineering such intracellular single chain antibodies are well known. Such intracellular antibodies, also known as “intrabodies”, are specifically targeted to a particular compartment within the cell, providing control over where the inhibitory activity of the treatment is focused. This technology has been successfully applied in the art (for review, see Richardson and Marasco, 1995, TIBTECH vol. 13). Intrabodies have been shown to virtually eliminate the expression of otherwise abundant cell surface receptors (see, e.g., Richardson et al., 1995, Proc. Natl. Acad. Sci. USA 92: 3137-3141; Beerli et al., 1994, J. Biol. Chem. 289: 23931-23936; Deshane et al., 1994, Gene Ther. 1: 332-337).

Single chain antibodies comprise the variable domains of the heavy and light chain joined by a flexible linker polypeptide, and are expressed as a single polypeptide. Optionally, single chain antibodies are expressed as a single chain variable region fragment joined to the light chain constant region. Well-known intracellular trafficking signals are engineered into recombinant polynucleotide vectors encoding such single chain antibodies in order to target precisely the intrabody to the desired intracellular compartment. For example, intrabodies targeted to the endoplasmic reticulum (ER) are engineered to incorporate a leader peptide and, optionally, a C-terminal ER retention signal, such as the KDEL amino acid motif. Intrabodies intended to exert activity in the nucleus are engineered to include a nuclear localization signal. Lipid moieties are joined to intrabodies in order to tether the intrabody to the cytosolic side of the plasma membrane. Intrabodies can also be targeted to exert function in the cytosol. For example, cytosolic intrabodies are used to sequester factors within the cytosol, thereby preventing them from being transported to their natural cellular destination.

In one embodiment, intrabodies are used to capture 254P1D6B in the nucleus, thereby preventing its activity within the nucleus. Nuclear targeting signals are engineered into such 254P1D6B intrabodies in order to achieve the desired targeting. Such 254P1D6B intrabodies are designed to bind specifically to a particular 254P1D6B domain. In another embodiment, cytosolic intrabodies that specifically bind to a 254P1D6B protein are used to prevent 254P1D6B from gaining access to the nucleus, thereby preventing it from exerting any biological activity within the nucleus (e.g., preventing 254P1D6B from forming transcription complexes with other factors).

In order to specifically direct the expression of such intrabodies to particular cells, the transcription of the intrabody is placed under the regulatory control of an appropriate tumor-specific promoter and/or enhancer. In order to target intrabody expression specifically to prostate, for example, the PSA promoter and/or promoter/enhancer can be utilized (See, for example, U.S. Pat. No. 5,919,652 issued 6 Jul. 1999).

XII.B.) Inhibition of 254P1D6B with Recombinant Proteins

In another approach, recombinant molecules bind to 254P1D6B and thereby inhibit 254P1D6B function. For example, these recombinant molecules prevent or inhibit 254P1D6B from accessing/binding to its binding partner(s) or associating with other protein(s). Such recombinant molecules can, for example, contain the reactive part(s) of a 254P1D6B specific antibody molecule. In a particular embodiment, the 254P1D6B binding domain of a 254P1D6B binding partner is engineered into a dimeric fusion protein, whereby the fusion protein comprises two 254P1D6B ligand binding domains linked to the Fc portion of a human IgG, such as human IgG1. Such IgG portion can contain, for example, the C_(H)2 and C_(H)3 domains and the hinge region, but not the C_(H)1 domain. Such dimeric fusion proteins are administered in soluble form to patients suffering from a cancer associated with the expression of 254P1D6B, whereby the dimeric fusion protein specifically binds to 254P1D6B and blocks 254P1D6B interaction with a binding partner. Such dimeric fusion proteins are further combined into multimeric proteins using known antibody linking technologies.

XII.C.) Inhibition of 254P1D6B Transcription or Translation

The present invention also comprises various methods and compositions for inhibiting the transcription of the 254P1D6B gene. Similarly, the invention also provides methods and compositions for inhibiting the translation of 254P1D6B mRNA into protein.

In one approach, a method of inhibiting the transcription of the 254P1D6B gene comprises contacting the 254P1D6B gene with a 254P1D6B antisense polynucleotide. In another approach, a method of inhibiting 254P1D6B mRNA translation comprises contacting a 254P1D6B mRNA with an antisense polynucleotide. In another approach, a 254P1D6B specific ribozyme is used to cleave a 254P1D6B message, thereby inhibiting translation. Such antisense and ribozyme based methods can also be directed to the regulatory regions of the 254P1D6B gene, such as 254P1D6B promoter and/or enhancer elements. Similarly, proteins capable of inhibiting a 254P1D6B gene transcription factor are used to inhibit 254P1D6B mRNA transcription. The various polynucleotides and compositions useful in the aforementioned methods have been described above. The use of antisense and ribozyme molecules to inhibit transcription and translation is well known in the art.

Other factors that inhibit the transcription of 254P1D6B by interfering with 254P1D6B transcriptional activation are also useful to treat cancers expressing 254P1D6B. Similarly, factors that interfere with 254P1D6B processing are useful to treat cancers that express 254P1D6B. Cancer treatment methods utilizing such factors are also within the scope of the invention.

XII.D.) General Considerations for Therapeutic Strategies

Gene transfer and gene therapy technologies can be used to deliver therapeutic polynucleotide molecules to tumor cells synthesizing 254P1D6B (i.e., antisense, ribozyme, polynucleotides encoding intrabodies and other 254P1D6B inhibitory molecules). A number of gene therapy approaches are known in the art. Recombinant vectors encoding 254P1D6B antisense polynucleotides, ribozymes, factors capable of interfering with 254P1D6B transcription, and so forth, can be delivered to target tumor cells using such gene therapy approaches.

The above therapeutic approaches can be combined with any one of a wide variety of surgical, chemotherapy or radiation therapy regimens. The therapeutic approaches of the invention can enable the use of reduced dosages of chemotherapy (or other therapies) and/or less frequent administration, an advantage for all patients and particularly for those that do not tolerate the toxicity of the chemotherapeutic agent well.

The anti-tumor activity of a particular composition (e.g., antisense, ribozyme, intrabody), or a combination of such compositions, can be evaluated using various in vitro and in vivo assay systems. In vitro assays that evaluate therapeutic activity include cell growth assays, soft agar assays and other assays indicative of tumor promoting activity, binding assays capable of determining the extent to which a therapeutic composition will inhibit the binding of 254P1D6B to a binding partner, etc.

In vivo, the effect of a 254P1D6B therapeutic composition can be evaluated in a suitable animal model. For example, xenogeneic prostate cancer models can be used, wherein human prostate cancer explants or passaged xenograft tissues are introduced into immune compromised animals, such as nude or SCID mice (Klein et al., 1997, Nature Medicine 3: 402-408). For example, PCT Patent Application WO98/16628 and U.S. Pat. No. 6,107,540 describe various xenograft models of human prostate cancer capable of recapitulating the development of primary tumors, micrometastasis, and the formation of osteoblastic metastases characteristic of late stage disease. Efficacy can be predicted using assays that measure inhibition of tumor formation, tumor regression or metastasis, and the like.

In vivo assays that evaluate the promotion of apoptosis are useful in evaluating therapeutic compositions. In one embodiment, xenografts from tumor bearing mice treated with the therapeutic composition can be examined for the presence of apoptotic foci and compared to untreated control xenograft-bearing mice. The extent to which apoptotic foci are found in the tumors of the treated mice provides an indication of the therapeutic efficacy of the composition.

The therapeutic compositions used in the practice of the foregoing methods can be formulated into pharmaceutical compositions comprising a carrier suitable for the desired delivery method. Suitable carriers include any material that when combined with the therapeutic composition retains the anti-tumor function of the therapeutic composition and is generally non-reactive with the patient's immune system. Examples include, but are not limited to, any of a number of standard pharmaceutical carriers such as sterile phosphate buffered saline solutions, bacteriostatic water, and the like (see, generally, Remington's Pharmaceutical Sciences 16^(th) Edition, A. Osal., Ed., 1980).

Therapeutic formulations can be solubilized and administered via any route capable of delivering the therapeutic composition to the tumor site. Potentially effective routes of administration include, but are not limited to, intravenous, parenteral, intraperitoneal, intramuscular, intratumor, intradermal, intraorgan, orthotopic, and the like. A preferred formulation for intravenous injection comprises the therapeutic composition in a solution of preserved bacteriostatic water, sterile unpreserved water, and/or diluted in polyvinylchloride or polyethylene bags containing 0.9% sterile Sodium Chloride for Injection, USP. Therapeutic protein preparations can be lyophilized and stored as sterile powders, preferably under vacuum, and then reconstituted in bacteriostatic water (containing for example, benzyl alcohol preservative) or in sterile water prior to injection.

Dosages and administration protocols for the treatment of cancers using the foregoing methods will vary with the method and the target cancer, and will generally depend on a number of other factors appreciated in the art.

XIII.) Identification, Characterization and Use of Modulators of 254P1D6B

Methods to Identify and Use Modulators

In one embodiment, screening is performed to identify modulators that induce or suppress a particular expression profile, suppress or induce specific pathways, preferably generating the associated phenotype thereby. In another embodiment, having identified differentially expressed genes important in a particular state; screens are performed to identify modulators that alter expression of individual genes, either increase or decrease. In another embodiment, screening is performed to identify modulators that alter a biological function of the expression product of a differentially expressed gene. Again, having identified the importance of a gene in a particular state, screens are performed to identify agents that bind and/or modulate the biological activity of the gene product.

In addition, screens are done for genes that are induced in response to a candidate agent. After identifying a modulator (one that suppresses a cancer expression pattern leading to a normal expression pattern, or a modulator of a cancer gene that leads to expression of the gene as in normal tissue) a screen is performed to identify genes that are specifically modulated in response to the agent. Comparing expression profiles between normal tissue and agent-treated cancer tissue reveals genes that are not expressed in normal tissue or cancer tissue, but are expressed in agent treated tissue, and vice versa. These agent-specific sequences are identified and used by methods described herein for cancer genes or proteins. In particular these sequences and the proteins they encode are used in marking or identifying agent-treated cells. In addition, antibodies are raised against the agent-induced proteins and used to target novel therapeutics to the treated cancer tissue sample.

Modulator-Related Identification and Screening Assays:

Gene Expression-Related Assays

Proteins, nucleic acids, and antibodies of the invention are used in screening assays. The cancer-associated proteins, antibodies, nucleic acids, modified proteins and cells containing these sequences are used in screening assays, such as evaluating the effect of drug candidates on a “gene expression profile,” expression profile of polypeptides or alteration of biological function. In one embodiment, the expression profiles are used, preferably in conjunction with high throughput screening techniques to allow monitoring for expression profile genes after treatment with a candidate agent (e.g., Davis, G F, et al., J Biol Screen 7:69 (2002); Zlokarnik, et al., Science 279:84-8 (1998); Heid, Genome Res 6:986-94, 1996).

The cancer proteins, antibodies, nucleic acids, modified proteins and cells containing the native or modified cancer proteins or genes are used in screening assays. That is, the present invention comprises methods for screening for compositions which modulate the cancer phenotype or a physiological function of a cancer protein of the invention. This is done on a gene itself or by evaluating the effect of drug candidates on a “gene expression profile” or biological function. In one embodiment, expression profiles are used, preferably in conjunction with high throughput screening techniques to allow monitoring after treatment with a candidate agent, see Zlokarnik, supra.

A variety of assays are executed directed to the genes and proteins of the invention. Assays are run on an individual nucleic acid or protein level. That is, having identified a particular gene as up regulated in cancer, test compounds are screened for the ability to modulate gene expression or for binding to the cancer protein of the invention. “Modulation” in this context includes an increase or a decrease in gene expression. The preferred amount of modulation will depend on the original change of the gene expression in normal versus tissue undergoing cancer, with changes of at least 10%, preferably 50%, more preferably 100-300%, and in some embodiments 300-1000% or greater. Thus, if a gene exhibits a 4-fold increase in cancer tissue compared to normal tissue, a decrease of about four-fold is often desired; similarly, a 10-fold decrease in cancer tissue compared to normal tissue a target value of a 10-fold increase in expression by the test compound is often desired. Modulators that exacerbate the type of gene expression seen in cancer are also useful, e.g., as an upregulated target in further analyses.

The amount of gene expression is monitored using nucleic acid probes and the quantification of gene expression levels, or, alternatively, a gene product itself is monitored, e.g., through the use of antibodies to the cancer protein and standard immunoassays. Proteomics and separation techniques also allow for quantification of expression.

Expression Monitoring to Identify Compounds that Modify Gene Expression

In one embodiment, gene expression monitoring, i.e., an expression profile, is monitored simultaneously for a number of entities. Such profiles will typically involve one or more of the genes of FIG. 2. In this embodiment, e.g., cancer nucleic acid probes are attached to biochips to detect and quantify cancer sequences in a particular cell. Alternatively, PCR can be used. Thus, a series, e.g., wells of a microtiter plate, can be used with dispensed primers in desired wells. A PCR reaction can then be performed and analyzed for each well.

Expression monitoring is performed to identify compounds that modify the expression of one or more cancer-associated sequences, e.g., a polynucleotide sequence set out in FIG. 2. Generally, a test modulator is added to the cells prior to analysis. Moreover, screens are also provided to identify agents that modulate cancer, modulate cancer proteins of the invention, bind to a cancer protein of the invention, or interfere with the binding of a cancer protein of the invention and an antibody or other binding partner.

In one embodiment, high throughput screening methods involve providing a library containing a large number of potential therapeutic compounds (candidate compounds). Such “combinatorial chemical libraries” are then screened in one or more assays to identify those library members (particular chemical species or subclasses) that display a desired characteristic activity. The compounds thus identified can serve as conventional “lead compounds,” as compounds for screening, or as therapeutics.

In certain embodiments, combinatorial libraries of potential modulators are screened for an ability to bind to a cancer polypeptide or to modulate activity. Conventionally, new chemical entities with useful properties are generated by identifying a chemical compound (called a “lead compound”) with some desirable property or activity, e.g., inhibiting activity, creating variants of the lead compound, and evaluating the property and activity of those variant compounds. Often, high throughput screening (HTS) methods are employed for such an analysis.

As noted above, gene expression monitoring is conveniently used to test candidate modulators (e.g., protein, nucleic acid or small molecule). After the candidate agent has been added and the cells allowed to incubate for a period, the sample containing a target sequence to be analyzed is, e.g., added to a biochip.

If required, the target sequence is prepared using known techniques. For example, a sample is treated to lyse the cells, using known lysis buffers, electroporation, etc., with purification and/or amplification such as PCR performed as appropriate. For example, an in vitro transcription with labels covalently attached to the nucleotides is performed. Generally, the nucleic acids are labeled with biotin-FITC or PE, or with cy3 or cy5.

The target sequence can be labeled with, e.g. a fluorescent, a chemiluminescent, a chemical, or a radioactive signal, to provide a means of detecting the target sequence's specific binding to a probe. The label also can be an enzyme, such as alkaline phosphatase or horseradish peroxidase, which when provided with an appropriate substrate produces a product that is detected. Alternatively, the label is a labeled compound or small molecule, such as an enzyme inhibitor, that binds but is not catalyzed or altered by the enzyme. The label also can be a moiety or compound, such as, an epitope tag or biotin which specifically binds to streptavidin. For the example of biotin, the streptavidin is labeled as described above, thereby, providing a detectable signal for the bound target sequence. Unbound labeled streptavidin is typically removed prior to analysis.

As will be appreciated by those in the art, these assays can be direct hybridization assays or can comprise “sandwich assays”, which include the use of multiple probes, as is generally outlined in U.S. Pat. Nos. 5,681,702; 5,597,909; 5,545,730; 5,594,117; 5,591,584; 5,571,670; 5,580,731; 5,571,670; 5,591,584; 5,624,802; 5,635,352; 5,594,118; 5,359,100; 5,124,246; and 5,681,697. In this embodiment, in general, the target nucleic acid is prepared as outlined above, and then added to the biochip comprising a plurality of nucleic acid probes, under conditions that allow the formation of a hybridization complex.

A variety of hybridization conditions are used in the present invention, including high, moderate and low stringency conditions as outlined above. The assays are generally run under stringency conditions which allow formation of the label probe hybridization complex only in the presence of target. Stringency can be controlled by altering a step parameter that is a thermodynamic variable, including, but not limited to, temperature, formamide concentration, salt concentration, chaotropic salt concentration pH, organic solvent concentration, etc. These parameters may also be used to control non-specific binding, as is generally outlined in U.S. Pat. No. 5,681,697. Thus, it can be desirable to perform certain steps at higher stringency conditions to reduce non-specific binding.

The reactions outlined herein can be accomplished in a variety of ways. Components of the reaction can be added simultaneously, or sequentially, in different orders, with preferred embodiments outlined below. In addition, the reaction may include a variety of other reagents. These include salts, buffers, neutral proteins, e.g. albumin, detergents, etc. which can be used to facilitate optimal hybridization and detection, and/or reduce nonspecific or background interactions. Reagents that otherwise improve the efficiency of the assay, such as protease inhibitors, nuclease inhibitors, anti-microbial agents, etc., may also be used as appropriate, depending on the sample preparation methods and purity of the target. The assay data are analyzed to determine the expression levels of individual genes, and changes in expression levels as between states, forming a gene expression profile.

Biological Activity-Related Assays

The invention provides methods identify or screen for a compound that modulates the activity of a cancer-related gene or protein of the invention. The methods comprise adding a test compound, as defined above, to a cell comprising a cancer protein of the invention. The cells contain a recombinant nucleic acid that encodes a cancer protein of the invention. In another embodiment, a library of candidate agents is tested on a plurality of cells.

In one aspect, the assays are evaluated in the presence or absence or previous or subsequent exposure of physiological signals, e.g. hormones, antibodies, peptides, antigens, cytokines, growth factors, action potentials, pharmacological agents including chemotherapeutics, radiation, carcinogenics, or other cells (i.e., cell-cell contacts). In another example, the determinations are made at different stages of the cell cycle process. In this way, compounds that modulate genes or proteins of the invention are identified. Compounds with pharmacological activity are able to enhance or interfere with the activity of the cancer protein of the invention. Once identified, similar structures are evaluated to identify critical structural features of the compound.

In one embodiment, a method of modulating (e.g., inhibiting) cancer cell division is provided; the method comprises administration of a cancer modulator. In another embodiment, a method of modulating (e.g., inhibiting) cancer is provided; the method comprises administration of a cancer modulator. In a further embodiment, methods of treating cells or individuals with cancer are provided; the method comprises administration of a cancer modulator.

In one embodiment, a method for modulating the status of a cell that expresses a gene of the invention is provided. As used herein status comprises such art-accepted parameters such as growth, proliferation, survival, function, apoptosis, senescence, location, enzymatic activity, signal transduction, etc. of a cell. In one embodiment, a cancer inhibitor is an antibody as discussed above. In another embodiment, the cancer inhibitor is an antisense molecule. A variety of cell growth, proliferation, and metastasis assays are known to those of skill in the art, as described herein.

High Throughput Screening to Identify Modulators

The assays to identify suitable modulators are amenable to high throughput screening. Preferred assays thus detect enhancement or inhibition of cancer gene transcription, inhibition or enhancement of polypeptide expression, and inhibition or enhancement of polypeptide activity.

In one embodiment, modulators evaluated in high throughput screening methods are proteins, often naturally occurring proteins or fragments of naturally occurring proteins. Thus, e.g., cellular extracts containing proteins, or random or directed digests of proteinaceous cellular extracts, are used. In this way, libraries of proteins are made for screening in the methods of the invention. Particularly preferred in this embodiment are libraries of bacterial, fungal, viral, and mammalian proteins, with the latter being preferred, and human proteins being especially preferred. Particularly useful test compound will be directed to the class of proteins to which the target belongs, e.g., substrates for enzymes, or ligands and receptors.

Use of Soft Agar Growth and Colony Formation to Identify and Characterize Modulators

Normal cells require a solid substrate to attach and grow. When cells are transformed, they lose this phenotype and grow detached from the substrate. For example, transformed cells can grow in stirred suspension culture or suspended in semi-solid media, such as semi-solid or soft agar. The transformed cells, when transfected with tumor suppressor genes, can regenerate normal phenotype and once again require a solid substrate to attach to and grow. Soft agar growth or colony formation in assays are used to identify modulators of cancer sequences, which when expressed in host cells, inhibit abnormal cellular proliferation and transformation. A modulator reduces or eliminates the host cells' ability to grow suspended in solid or semisolid media, such as agar.

Techniques for soft agar growth or colony formation in suspension assays are described in Freshney, Culture of Animal Cells a Manual of Basic Technique (3rd ed., 1994). See also, the methods section of Garkavtsev et al. (1996), supra.

Evaluation of Contact Inhibition and Growth Density Limitation to Identify and Characterize Modulators

Normal cells typically grow in a flat and organized pattern in cell culture until they touch other cells. When the cells touch one another, they are contact inhibited and stop growing. Transformed cells, however, are not contact inhibited and continue to grow to high densities in disorganized foci. Thus, transformed cells grow to a higher saturation density than corresponding normal cells. This is detected morphologically by the formation of a disoriented monolayer of cells or cells in foci. Alternatively, labeling index with (3H)-thymidine at saturation density is used to measure density limitation of growth, similarly an MTT or Alamar blue assay will reveal proliferation capacity of cells and the ability of modulators to affect same. See Freshney (1994), supra. Transformed cells, when transfected with tumor suppressor genes, can regenerate a normal phenotype and become contact inhibited and would grow to a lower density.

In this assay, labeling index with ³H)-thymidine at saturation density is a preferred method of measuring density limitation of growth. Transformed host cells are transfected with a cancer-associated sequence and are grown for 24 hours at saturation density in non-limiting medium conditions. The percentage of cells labeling with (3H)-thymidine is determined by incorporated cpm.

Contact independent growth is used to identify modulators of cancer sequences, which had led to abnormal cellular proliferation and transformation. A modulator reduces or eliminates contact independent growth, and returns the cells to a normal phenotype.

Evaluation of Growth Factor or Serum Dependence to Identify and Characterize Modulators

Transformed cells have lower serum dependence than their normal counterparts (see, e.g., Temin, J. Natl. Cancer Inst. 37:167-175 (1966); Eagle et al., J. Exp. Med. 131:836-879 (1970)); Freshney, supra. This is in part due to release of various growth factors by the transformed cells. The degree of growth factor or serum dependence of transformed host cells can be compared with that of control. For example, growth factor or serum dependence of a cell is monitored in methods to identify and characterize compounds that modulate cancer-associated sequences of the invention.

Use of Tumor-Specific Marker Levels to Identify and Characterize Modulators

Tumor cells release an increased amount of certain factors (hereinafter “tumor specific markers”) than their normal counterparts. For example, plasminogen activator (PA) is released from human glioma at a higher level than from normal brain cells (see, e.g., Gullino, Angiogenesis, Tumor Vascularization, and Potential Interference with Tumor Growth, in Biological Responses in Cancer, pp. 178-184 (Mihich (ed.) 1985)). Similarly, Tumor Angiogenesis Factor (TAF) is released at a higher level in tumor cells than their normal counterparts. See, e.g., Folkman, Angiogenesis and Cancer, Sem Cancer Biol. (1992)), while bFGF is released from endothelial tumors (Ensoli, B et al).

Various techniques which measure the release of these factors are described in Freshney (1994), supra. Also, see, Unkless et al., J. Biol. Chem. 249:4295-4305 (1974); Strickland & Beers, J. Biol. Chem. 251:5694-5702 (1976); Whur et al., Br. J. Cancer 42:305 312 (1980); Gullino, Angiogenesis, Tumor Vascularization, and Potential Interference with Tumor Growth, in Biological Responses in Cancer, pp. 178-184 (Mihich (ed.) 1985); Freshney, Anticancer Res. 5:111-130 (1985). For example, tumor specific marker levels are monitored in methods to identify and characterize compounds that modulate cancer-associated sequences of the invention.

Invasiveness into Matrigel to Identify and Characterize Modulators

The degree of invasiveness into Matrigel or an extracellular matrix constituent can be used as an assay to identify and characterize compounds that modulate cancer associated sequences. Tumor cells exhibit a positive correlation between malignancy and invasiveness of cells into Matrigel or some other extracellular matrix constituent. In this assay, tumorigenic cells are typically used as host cells. Expression of a tumor suppressor gene in these host cells would decrease invasiveness of the host cells. Techniques described in Cancer Res. 1999; 59:6010; Freshney (1994), supra, can be used. Briefly, the level of invasion of host cells is measured by using filters coated with Matrigel or some other extracellular matrix constituent. Penetration into the gel, or through to the distal side of the filter, is rated as invasiveness, and rated histologically by number of cells and distance moved, or by prelabeling the cells with ¹²⁵I and counting the radioactivity on the distal side of the filter or bottom of the dish. See, e.g., Freshney (1984), supra.

Evaluation of Tumor Growth In Vivo to Identify and Characterize Modulators

Effects of cancer-associated sequences on cell growth are tested in transgenic or immune-suppressed organisms. Transgenic organisms are prepared in a variety of art-accepted ways. For example, knock-out transgenic organisms, e.g., mammals such as mice, are made, in which a cancer gene is disrupted or in which a cancer gene is inserted. Knock-out transgenic mice are made by insertion of a marker gene or other heterologous gene into the endogenous cancer gene site in the mouse genome via homologous recombination. Such mice can also be made by substituting the endogenous cancer gene with a mutated version of the cancer gene, or by mutating the endogenous cancer gene, e.g., by exposure to carcinogens.

To prepare transgenic chimeric animals, e.g., mice, a DNA construct is introduced into the nuclei of embryonic stem cells. Cells containing the newly engineered genetic lesion are injected into a host mouse embryo, which is re-implanted into a recipient female. Some of these embryos develop into chimeric mice that possess germ cells some of which are derived from the mutant cell line. Therefore, by breeding the chimeric mice it is possible to obtain a new line of mice containing the introduced genetic lesion (see, e.g., Capecchi et al., Science 244:1288 (1989)). Chimeric mice can be derived according to U.S. Pat. No. 6,365,797, issued 2 Apr. 2002; U.S. Pat. No. 6,107,540 issued 22 Aug. 2000; Hogan et al., Manipulating the Mouse Embryo: A laboratory Manual., Cold Spring Harbor Laboratory (1988) and Teratocarcinomas and Embryonic Stem Cells: A Practical Approach, Robertson, ed., IRL Press, Washington, D.C., (1987).

Alternatively, various immune-suppressed or immune-deficient host animals can be used. For example, a genetically athymic “nude” mouse (see, e.g., Giovanella et al., J. Natl. Cancer Inst. 52:921 (1974)), a SCID mouse, a thymectornized mouse, or an irradiated mouse (see, e.g., Bradley et al., Br. J. Cancer 38:263 (1978); Selby et al., Br. J. Cancer 41:52 (1980)) can be used as a host. Transplantable tumor cells (typically about 10⁶ cells) injected into isogenic hosts produce invasive tumors in a high proportion of cases, while normal cells of similar origin will not. In hosts which developed invasive tumors, cells expressing cancer-associated sequences are injected subcutaneously or orthotopically. Mice are then separated into groups, including control groups and treated experimental groups) e.g. treated with a modulator). After a suitable length of time, preferably 4-8 weeks, tumor growth is measured (e.g., by volume or by its two largest dimensions, or weight) and compared to the control. Tumors that have statistically significant reduction (using, e.g., Student's T test) are said to have inhibited growth.

In Vitro Assays to Identify and Characterize Modulators

Assays to identify compounds with modulating activity can be performed in vitro. For example, a cancer polypeptide is first contacted with a potential modulator and incubated for a suitable amount of time, e.g., from 0.5 to 48 hours. In one embodiment, the cancer polypeptide levels are determined in vitro by measuring the level of protein or mRNA. The level of protein is measured using immunoassays such as Western blotting, ELISA and the like with an antibody that selectively binds to the cancer polypeptide or a fragment thereof. For measurement of mRNA, amplification, e.g., using PCR, LCR, or hybridization assays, e.g., Northern hybridization, RNAse protection, dot blotting, are preferred. The level of protein or mRNA is detected using directly or indirectly labeled detection agents, e.g., fluorescently or radioactively labeled nucleic acids, radioactively or enzymatically labeled antibodies, and the like, as described herein.

Alternatively, a reporter gene system can be devised using a cancer protein promoter operably linked to a reporter gene such as luciferase, green fluorescent protein, CAT, or P-gal. The reporter construct is typically transfected into a cell. After treatment with a potential modulator, the amount of reporter gene transcription, translation, or activity is measured according to standard techniques known to those of skill in the art (Davis G F, supra; Gonzalez, J. & Negulescu, P. Curr. Opin. Biotechnol. 1998: 9:624).

As outlined above, in vitro screens are done on individual genes and gene products. That is, having identified a particular differentially expressed gene as important in a particular state, screening of modulators of the expression of the gene or the gene product itself is performed.

In one embodiment, screening for modulators of expression of specific gene(s) is performed. Typically, the expression of only one or a few genes is evaluated. In another embodiment, screens are designed to first find compounds that bind to differentially expressed proteins. These compounds are then evaluated for the ability to modulate differentially expressed activity. Moreover, once initial candidate compounds are identified, variants can be further screened to better evaluate structure activity relationships.

Binding Assays to Identify and Characterize Modulators

In binding assays in accordance with the invention, a purified or isolated gene product of the invention is generally used. For example, antibodies are generated to a protein of the invention, and immunoassays are run to determine the amount and/or location of protein. Alternatively, cells comprising the cancer proteins are used in the assays.

Thus, the methods comprise combining a cancer protein of the invention and a candidate compound such as a ligand, and determining the binding of the compound to the cancer protein of the invention. Preferred embodiments utilize the human cancer protein; animal models of human disease of can also be developed and used. Also, other analogous mammalian proteins also can be used as appreciated by those of skill in the art. Moreover, in some embodiments variant or derivative cancer proteins are used.

Generally, the cancer protein of the invention, or the ligand, is non-diffusibly bound to an insoluble support. The support can, e.g., be one having isolated sample receiving areas (a microtiter plate, an array, etc.). The insoluble supports can be made of any composition to which the compositions can be bound, is readily separated from soluble material, and is otherwise compatible with the overall method of screening. The surface of such supports can be solid or porous and of any convenient shape.

Examples of suitable insoluble supports include microtiter plates, arrays, membranes and beads. These are typically made of glass, plastic (e.g., polystyrene), polysaccharide, nylon, nitrocellulose, or Teflon™, etc. Microtiter plates and arrays are especially convenient because a large number of assays can be carried out simultaneously, using small amounts of reagents and samples. The particular manner of binding of the composition to the support is not crucial so long as it is compatible with the reagents and overall methods of the invention, maintains the activity of the composition and is nondiffusable. Preferred methods of binding include the use of antibodies which do not sterically block either the ligand binding site or activation sequence when attaching the protein to the support, direct binding to “sticky” or ionic supports, chemical crosslinking, the synthesis of the protein or agent on the surface, etc. Following binding of the protein or ligand/binding agent to the support, excess unbound material is removed by washing. The sample receiving areas may then be blocked through incubation with bovine serum albumin (BSA), casein or other innocuous protein or other moiety.

Once a cancer protein of the invention is bound to the support, and a test compound is added to the assay. Alternatively, the candidate binding agent is bound to the support and the cancer protein of the invention is then added. Binding agents include specific antibodies, non-natural binding agents identified in screens of chemical libraries, peptide analogs, etc.

Of particular interest are assays to identify agents that have a low toxicity for human cells. A wide variety of assays can be used for this purpose, including proliferation assays, cAMP assays, labeled in vitro protein-protein binding assays, electrophoretic mobility shift assays, immunoassays for protein binding, functional assays (phosphorylation assays, etc.) and the like.

A determination of binding of the test compound (ligand, binding agent, modulator, etc.) to a cancer protein of the invention can be done in a number of ways. The test compound can be labeled, and binding determined directly, e.g., by attaching all or a portion of the cancer protein of the invention to a solid support, adding a labeled candidate compound (e.g., a fluorescent label), washing off excess reagent, and determining whether the label is present on the solid support. Various blocking and washing steps can be utilized as appropriate.

In certain embodiments, only one of the components is labeled, e.g., a protein of the invention or ligands labeled. Alternatively, more than one component is labeled with different labels, e.g., I¹²⁵, for the proteins and a fluorophore for the compound. Proximity reagents, e.g., quenching or energy transfer reagents are also useful.

Competitive Binding to Identify and Characterize Modulators

In one embodiment, the binding of the “test compound” is determined by competitive binding assay with a “competitor.” The competitor is a binding moiety that binds to the target molecule (e.g., a cancer protein of the invention). Competitors include compounds such as antibodies, peptides, binding partners, ligands, etc. Under certain circumstances, the competitive binding between the test compound and the competitor displaces the test compound. In one embodiment, the test compound is labeled. Either the test compound, the competitor, or both, is added to the protein for a time sufficient to allow binding. Incubations are performed at a temperature that facilitates optimal activity, typically between four and 40° C. Incubation periods are typically optimized, e.g., to facilitate rapid high throughput screening; typically between zero and one hour will be sufficient. Excess reagent is generally removed or washed away. The second component is then added, and the presence or absence of the labeled component is followed, to indicate binding.

In one embodiment, the competitor is added first, followed by the test compound. Displacement of the competitor is an indication that the test compound is binding to the cancer protein and thus is capable of binding to, and potentially modulating, the activity of the cancer protein. In this embodiment, either component can be labeled. Thus, e.g., if the competitor is labeled, the presence of label in the post-test compound wash solution indicates displacement by the test compound. Alternatively, if the test compound is labeled, the presence of the label on the support indicates displacement.

In an alternative embodiment, the test compound is added first, with incubation and washing, followed by the competitor. The absence of binding by the competitor indicates that the test compound binds to the cancer protein with higher affinity than the competitor. Thus, if the test compound is labeled, the presence of the label on the support, coupled with a lack of competitor binding, indicates that the test compound binds to and thus potentially modulates the cancer protein of the invention.

Accordingly, the competitive binding methods comprise differential screening to identity agents that are capable of modulating the activity of the cancer proteins of the invention. In this embodiment, the methods comprise combining a cancer protein and a competitor in a first sample. A second sample comprises a test compound, the cancer protein, and a competitor. The binding of the competitor is determined for both samples, and a change, or difference in binding between the two samples indicates the presence of an agent capable of binding to the cancer protein and potentially modulating its activity. That is, if the binding of the competitor is different in the second sample relative to the first sample, the agent is capable of binding to the cancer protein.

Alternatively, differential screening is used to identify drug candidates that bind to the native cancer protein, but cannot bind to modified cancer proteins. For example the structure of the cancer protein is modeled and used in rational drug design to synthesize agents that interact with that site, agents which generally do not bind to site-modified proteins. Moreover, such drug candidates that affect the activity of a native cancer protein are also identified by screening drugs for the ability to either enhance or reduce the activity of such proteins.

Positive controls and negative controls can be used in the assays. Preferably control and test samples are performed in at least triplicate to obtain statistically significant results. Incubation of all samples occurs for a time sufficient to allow for the binding of the agent to the protein. Following incubation, samples are washed free of non-specifically bound material and the amount of bound, generally labeled agent determined. For example, where a radiolabel is employed, the samples can be counted in a scintillation counter to determine the amount of bound compound.

A variety of other reagents can be included in the screening assays. These include reagents like salts, neutral proteins, e.g. albumin, detergents, etc. which are used to facilitate optimal protein-protein binding and/or reduce non-specific or background interactions. Also reagents that otherwise improve the efficiency of the assay, such as protease inhibitors, nuclease inhibitors, anti-microbial agents, etc., can be used. The mixture of components is added in an order that provides for the requisite binding.

Use of Polynucleotides to Down-Regulate or Inhibit a Protein of the Invention.

Polynucleotide modulators of cancer can be introduced into a cell containing the target nucleotide sequence by formation of a conjugate with a ligand-binding molecule, as described in WO 91/04753. Suitable ligand-binding molecules include, but are not limited to, cell surface receptors, growth factors, other cytokines, or other ligands that bind to cell surface receptors. Preferably, conjugation of the ligand binding molecule does not substantially interfere with the ability of the ligand binding molecule to bind to its corresponding molecule or receptor, or block entry of the sense or antisense oligonucleotide or its conjugated version into the cell. Alternatively, a polynucleotide modulator of cancer can be introduced into a cell containing the target nucleic acid sequence, e.g., by formation of a polynucleotide-lipid complex, as described in WO 90/10448. It is understood that the use of antisense molecules or knock out and knock in models may also be used in screening assays as discussed above, in addition to methods of treatment.

Inhibitory and Antisense Nucleotides

In certain embodiments, the activity of a cancer-associated protein is down-regulated, or entirely inhibited, by the use of antisense polynucleotide or inhibitory small nuclear RNA (snRNA), i.e., a nucleic acid complementary to, and which can preferably hybridize specifically to, a coding mRNA nucleic acid sequence, e.g., a cancer protein of the invention, mRNA, or a subsequence thereof. Binding of the antisense polynucleotide to the mRNA reduces the translation and/or stability of the mRNA.

In the context of this invention, antisense polynucleotides can comprise naturally occurring nucleotides, or synthetic species formed from naturally occurring subunits or their close homologs. Antisense polynucleotides may also have altered sugar moieties or inter-sugar linkages. Exemplary among these are the phosphorothioate and other sulfur containing species which are known for use in the art. Analogs are comprised by this invention so long as they function effectively to hybridize with nucleotides of the invention. See, e.g., Isis Pharmaceuticals, Carlsbad, Calif.; Sequitor, Inc., Natick, Mass.

Such antisense polynucleotides can readily be synthesized using recombinant means, or can be synthesized in vitro. Equipment for such synthesis is sold by several vendors, including Applied Biosystems. The preparation of other oligonucleotides such as phosphorothioates and alkylated derivatives is also well known to those of skill in the art.

Antisense molecules as used herein include antisense or sense oligonucleotides. Sense oligonucleotides can, e.g., be employed to block transcription by binding to the anti-sense strand. The antisense and sense oligonucleotide comprise a single stranded nucleic acid sequence (either RNA or DNA) capable of binding to target mRNA (sense) or DNA (antisense) sequences for cancer molecules. Antisense or sense oligonucleotides, according to the present invention, comprise a fragment generally at least about 12 nucleotides, preferably from about 12 to 30 nucleotides. The ability to derive an antisense or a sense oligonucleotide, based upon a cDNA sequence encoding a given protein is described in, e.g., Stein & Cohen (Cancer Res. 48:2659 (1988 and van der Krol et al. (BioTechniques 6:958 (1988)).

Ribozymes

In addition to antisense polynucleotides, ribozymes can be used to target and inhibit transcription of cancer-associated nucleotide sequences. A ribozyme is an RNA molecule that catalytically cleaves other RNA molecules. Different kinds of ribozymes have been described, including group I ribozymes, hammerhead ribozymes, hairpin ribozymes, RNase P, and axhead ribozymes (see, e.g., Castanotto et al., Adv. in Pharmacology 25: 289-317 (1994) for a general review of the properties of different ribozymes).

The general features of hairpin ribozymes are described, e.g., in Hampel et al., Nucl. Acids Res. 18:299-304 (1990); European Patent Publication No. 0360257; U.S. Pat. No. 5,254,678. Methods of preparing are well known to those of skill in the art (see, e.g., WO 94/26877; Ojwang et al., Proc. Natl. Acad. Sci. USA 90:6340-6344 (1993); Yamada et al., Human Gene Therapy 1:39-45 (1994); Leavitt et al., Proc. Natl. Acad. Sci. USA 92:699-703 (1995); Leavitt et al., Human Gene Therapy 5: 1151-120 (1994); and Yamada et al., Virology 205: 121-126 (1994)).

Use of Modulators in Phenotypic Screening

In one embodiment, a test compound is administered to a population of cancer cells, which have an associated cancer expression profile. By “administration” or “contacting” herein is meant that the modulator is added to the cells in such a manner as to allow the modulator to act upon the cell, whether by uptake and intracellular action, or by action at the cell surface. In some embodiments, a nucleic acid encoding a proteinaceous agent (i.e., a peptide) is put into a viral construct such as an adenoviral or retroviral construct, and added to the cell, such that expression of the peptide agent is accomplished, e.g., PCT US97/01019. Regulatable gene therapy systems can also be used. Once the modulator has been administered to the cells, the cells are washed if desired and are allowed to incubate under preferably physiological conditions for some period. The cells are then harvested and a new gene expression profile is generated. Thus, e.g., cancer tissue is screened for agents that modulate, e.g., induce or suppress, the cancer phenotype. A change in at least one gene, preferably many, of the expression profile indicates that the agent has an effect on cancer activity. Similarly, altering a biological function or a signaling pathway is indicative of modulator activity. By defining such a signature for the cancer phenotype, screens for new drugs that alter the phenotype are devised. With this approach, the drug target need not be known and need not be represented in the original gene/protein expression screening platform, nor does the level of transcript for the target protein need to change. The modulator inhibiting function will serve as a surrogate marker

As outlined above, screens are done to assess genes or gene products. That is, having identified a particular differentially expressed gene as important in a particular state, screening of modulators of either the expression of the gene or the gene product itself is performed.

Use of Modulators to Affect Peptides of the Invention

Measurements of cancer polypeptide activity, or of the cancer phenotype are performed using a variety of assays. For example, the effects of modulators upon the function of a cancer polypeptide(s) are measured by examining parameters described above. A physiological change that affects activity is used to assess the influence of a test compound on the polypeptides of this invention. When the functional outcomes are determined using intact cells or animals, a variety of effects can be assesses such as, in the case of a cancer associated with solid tumors, tumor growth, tumor metastasis, neovascularization, hormone release, transcriptional changes to both known and uncharacterized genetic markers (e.g., by Northern blots), changes in cell metabolism such as cell growth or pH changes, and changes in intracellular second messengers such as cGNIP.

Methods of Identifying Characterizing Cancer-Associated Sequences

Expression of various gene sequences is correlated with cancer. Accordingly, disorders based on mutant or variant cancer genes are determined. In one embodiment, the invention provides methods for identifying cells containing variant cancer genes, e.g., determining the presence of, all or part, the sequence of at least one endogenous cancer gene in a cell. This is accomplished using any number of sequencing techniques. The invention comprises methods of identifying the cancer genotype of an individual, e.g., determining all or part of the sequence of at least one gene of the invention in the individual. This is generally done in at least one tissue of the individual, e.g., a tissue set forth in Table I, and may include the evaluation of a number of tissues or different samples of the same tissue. The method may include comparing the sequence of the sequenced gene to a known cancer gene, i.e., a wild-type gene to determine the presence of family members, homologies, mutations or variants. The sequence of all or part of the gene can then be compared to the sequence of a known cancer gene to determine if any differences exist. This is done using any number of known homology programs, such as BLAST, Bestfit, etc. The presence of a difference in the sequence between the cancer gene of the patient and the known cancer gene correlates with a disease state or a propensity for a disease state, as outlined herein.

In a preferred embodiment, the cancer genes are used as probes to determine the number of copies of the cancer gene in the genome. The cancer genes are used as probes to determine the chromosomal localization of the cancer genes. Information such as chromosomal localization finds use in providing a diagnosis or prognosis in particular when chromosomal abnormalities such as translocations, and the like are identified in the cancer gene locus.

XIV.) RNAi and Therapeutic Use of Small Interfering RNA (siRNAs)

The present invention is also directed towards siRNA oligonucleotides, particularly double stranded RNAs encompassing at least a fragment of the 254P1D6B coding region or 5″ UTR regions, or complement, or any antisense oligonucleotide specific to the 254P1D6B sequence. In one embodiment such oligonucleotides are used to elucidate a function of 254P1D6B, or are used to screen for or evaluate modulators of 254P1D6B function or expression. In another embodiment, gene expression of 254P1D6B is reduced by using siRNA transfection and results in significantly diminished proliferative capacity of transformed cancer cells that endogenously express the antigen; cells treated with specific 254P1D6B siRNAs show reduced survival as measured, e.g., by a metabolic readout of cell viability, correlating to the reduced proliferative capacity. Thus, 254P1D6B siRNA compositions comprise siRNA (double stranded RNA) that correspond to the nucleic acid ORF sequence of the 254P1D6B protein or subsequences thereof, these subsequences are generally 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35 or more than 35 contiguous RNA nucleotides in length and contain sequences that are complementary and non-complementary to at least a portion of the mRNA coding sequence In a preferred embodiment, the subsequences are 19-25 nucleotides in length, most preferably 21-23 nucleotides in length.

RNA interference is a novel approach to silencing genes in vitro and in vivo, thus small double stranded RNAs (siRNAs) are valuable therapeutic agents. The power of siRNAs to silence specific gene activities has now been brought to animal models of disease and is used in humans as well. For example, hydrodynamic infusion of a solution of siRNA into a mouse with a siRNA against a particular target has been proven to be therapeutically effective.

The pioneering work by Song et al. indicates that one type of entirely natural nucleic acid, small interfering RNAs (siRNAs), served as therapeutic agents even without further chemical modification (Song, E., et al. “RNA interference targeting Fas protects mice from fulminant hepatitis” Nat. Med. 9(3): 347-51 (2003)). This work provided the first in vivo evidence that infusion of siRNAs into an animal could alleviate disease. In that case, the authors gave mice injections of siRNA designed to silence the FAS protein (a cell death receptor that when over-activated during inflammatory response induces hepatocytes and other cells to die). The next day, the animals were given an antibody specific to Fas. Control mice died of acute liver failure within a few days, while over 80% of the siRNA-treated mice remained free from serious disease and survived. About 80% to 90% of their liver cells incorporated the naked siRNA oligonucleotides. Furthermore, the RNA molecules functioned for 10 days before losing effect after 3 weeks.

For use in human therapy, siRNA is delivered by efficient systems that induce long-lasting RNAi activity. A major caveat for clinical use is delivering siRNAs to the appropriate cells. Hepatocytes seem to be particularly receptive to exogenous RNA. Today, targets located in the liver are attractive because liver is an organ that can be readily targeted by nucleic acid molecules and viral vectors. However, other tissue and organs targets are preferred as well.

Formulations of siRNAs with compounds that promote transit across cell membranes are used to improve administration of siRNAs in therapy. Chemically modified synthetic siRNA, that are resistant to nucleases and have serum stability have concomitant enhanced duration of RNAi effects, are an additional embodiment.

Thus, siRNA technology is a therapeutic for human malignancy by delivery of siRNA molecules directed to 254P1D6B to individuals with the cancers, such as those listed in Table I. Such administration of siRNAs leads to reduced growth of cancer cells expressing 254P1D6B, and provides an anti-tumor therapy, lessening the morbidity and/or mortality associated with malignancy.

The effectiveness of this modality of gene product knockdown is significant when measured in vitro or in vivo. Effectiveness in vitro is readily demonstrable through application of siRNAs to cells in culture (as described above) or to aliquots of cancer patient biopsies when in vitro methods are used to detect the reduced expression of 254P1D6B protein.

XV.) Kits/Articles of Manufacture

For use in the laboratory, prognostic, prophylactic, diagnostic and therapeutic applications described herein, kits are within the scope of the invention. Such kits can comprise a carrier, package, or container that is compartmentalized to receive one or more containers such as vials, tubes, and the like, each of the container(s) comprising one of the separate elements to be used in the method, along with a label or insert comprising instructions for use, such as a use described herein. For example, the container(s) can comprise a probe that is or can be detectably labeled. Such probe can be an antibody or polynucleotide specific for a protein or a gene or message of the invention, respectively. Where the method utilizes nucleic acid hybridization to detect the target nucleic acid, the kit can also have containers containing nucleotide(s) for amplification of the target nucleic acid sequence. Kits can comprise a container comprising a reporter, such as a biotin-binding protein, such as avidin or streptavidin, bound to a reporter molecule, such as an enzymatic, fluorescent, or radioisotope label; such a reporter can be used with, e.g., a nucleic acid or antibody. The kit can include all or part of the amino acid sequences in FIG. 2 or FIG. 3 or analogs thereof, or a nucleic acid molecule that encodes such amino acid sequences.

The kit of the invention will typically comprise the container described above and one or more other containers associated therewith that comprise materials desirable from a commercial and user standpoint, including buffers, diluents, filters, needles, syringes; carrier, package, container, vial and/or tube labels listing contents and/or instructions for use, and package inserts with instructions for use.

A label can be present on or with the container to indicate that the composition is used for a specific therapy or non-therapeutic application, such as a prognostic, prophylactic, diagnostic or laboratory application, and can also indicate directions for either in vivo or in vitro use, such as those described herein. Directions and or other information can also be included on an insert(s) or label(s) which is included with or on the kit. The label can be on or associated with the container. A label a can be on a container when letters, numbers or other characters forming the label are molded or etched into the container itself, a label can be associated with a container when it is present within a receptacle or carrier that also holds the container, e.g., as a package insert. The label can indicate that the composition is used for diagnosing, treating, prophylaxing or prognosing a condition, such as a neoplasia of a tissue set forth in Table I.

The terms “kit” and “article of manufacture” can be used as synonyms.

In another embodiment of the invention, an article(s) of manufacture containing compositions, such as amino acid sequence(s), small molecule(s), nucleic acid sequence(s), and/or antibody(s), e.g., materials useful for the diagnosis, prognosis, prophylaxis and/or treatment of neoplasias of tissues such as those set forth in Table I is provided. The article of manufacture typically comprises at least one container and at least one label. Suitable containers include, for example, bottles, vials, syringes, and test tubes. The containers can be formed from a variety of materials such as glass, metal or plastic. The container can hold amino acid sequence(s), small molecule(s), nucleic acid sequence(s), cell population(s) and/or antibody(s). In one embodiment, the container holds a polynucleotide for use in examining the mRNA expression profile of a cell, together with reagents used for this purpose. In another embodiment a container comprises an antibody, binding fragment thereof or specific binding protein for use in evaluating protein expression of 254P1D6B in cells and tissues, or for relevant laboratory, prognostic, diagnostic, prophylactic and therapeutic purposes; indications and/or directions for such uses can be included on or with such container, as can reagents and other compositions or tools used for these purposes. In another embodiment, a container comprises materials for eliciting a cellular or humoral immune response, together with associated indications and/or directions. In another embodiment, a container comprises materials for adoptive immunotherapy, such as cytotoxic T cells (CTL) or helper T cells (HTL), together with associated indications and/or directions; reagents and other compositions or tools used for such purpose can also be included.

The container can alternatively hold a composition that is effective for treating, diagnosis, prognosing or prophylaxing a condition and can have a sterile access port (for example the container can be an intravenous solution bag or a vial having a stopper pierceable by a hypodermic injection needle). The active agents in the composition can be an antibody capable of specifically binding 254P1D6B and modulating the function of 254P1D6B.

The article of manufacture can further comprise a second container comprising a pharmaceutically-acceptable buffer, such as phosphate-buffered saline, Ringer's solution and/or dextrose solution. It can further include other materials desirable from a commercial and user standpoint, including other buffers, diluents, filters, stirrers, needles, syringes, and/or package inserts with indications and/or instructions for use.

EXAMPLES

Various aspects of the invention are further described and illustrated by way of the several examples that follow, none of which is intended to limit the scope of the invention.

Example 1 SSH-Generated Isolation of cDNA Fragment of the 254P1D6B Gene

To isolate genes that are over-expressed in prostate cancer we used the Suppression Subtractive Hybridization (SSH) procedure using cDNA derived from prostate cancer xenograft tissues. LAPC-9AD xenograft was obtained from Dr. Charles Sawyers (UCLA) and was generated as described (Klein et al., 1997, Nature Med. 3:402-408; Craft et al., 1999, Cancer Res. 59:5030-5036). LAPC-9AD² was generated from LAPC-9AD xenograft by growing LAPC-9AD xenograft tissues within a piece of human bone implanted in SCID mice. Tumors were then harvested and subsequently passaged subcutaneously into other SCID animals to generate LAPC-9AD².

The 254P1D6B SSH cDNA of 284 bp is listed in FIG. 1. The full length 254P1D6B variant 1 and variants 2-20, cDNAs and ORFs are described in FIG. 2 with the protein sequences listed in FIG. 3.

Materials and Methods

RNA Isolation:

Tumor tissues were homogenized in Trizol reagent (Life Technologies, Gibco BRL) using 10 ml/g tissue or 10 ml/10⁸ cells to isolate total RNA. Poly A RNA was purified from total RNA using Qiagen's Oligotex mRNA Mini and Midi kits. Total and mRNA were quantified by spectrophotometric analysis (O.D. 260/280 nm) and analyzed by gel electrophoresis.

Oligonucleotides:

The following HPLC purified oligonucleotides were used.

DPNCDN (cDNA synthesis primer): (SEQ ID NO: 17) 5′TTTTGATCAAGCTT₃₀3′ Adaptor 1: (SEQ ID NO: 18) 5′CTAATACGACTCACTATAGGGCTCGAGCGGCCGCCCGGGCAG3′ (SEQ ID NO: 19) 3′GGCCCGTCCTAG5′ Adaptor 2: (SEQ ID NO: 20) 5′GTAATACGACTCACTATAGGGCAGCGTGGTCGCGGCCGAG3′ (SEQ ID NO: 21) 3′CGGCTCCTAG5′ PCR primer 1: (SEQ ID NO: 22) 5′CTAATACGACTCACTATAGGGC3′ Nested primer (NP)1: (SEQ ID NO: 23) 5′TCGAGCGGCCGCCCGGGCAGGA3′ Nested primer (NP)2: (SEQ ID NO: 24) 5′AGCGTGGTCGCGGCCGAGGA3′

Suppression Subtractive Hybridization:

Suppression Subtractive Hybridization (SSH) was used to identify cDNAs corresponding to genes that may be differentially expressed in prostate cancer. The SSH reaction utilized cDNA from prostate cancer xenograft LAPC-9AD². The gene 254P1D6B was derived from a prostate cancer xenograft LAPC-9AD minus prostate cancer xenograft LAPC-9AD tissues. The SSH DNA sequence (FIG. 1) was identified.

The cDNA derived from prostate cancer xenograft LAPC-9AD tissue was used as the source of the “driver” cDNA, while the cDNA from prostate cancer xenograft LAPC-9AD² was used as the source of the “tester” cDNA. Double stranded cDNAs corresponding to tester and driver cDNAs were synthesized from 2 μg of poly(A)⁺ RNA isolated from the relevant tissue, as described above, using CLONTECH's PCR-Select cDNA Subtraction Kit and 1 ng of oligonucleotide DPNCDN as primer. First- and second-strand synthesis were carried out as described in the Kit's user manual protocol (CLONTECH Protocol No. PT1117-1, Catalog No. K1804-1). The resulting cDNA was digested with Dpn II for 3 hrs at 37° C. Digested cDNA was extracted with phenol/chloroform (1:1) and ethanol precipitated.

Tester cDNA was generated by diluting 1 μl of Dpn II digested cDNA from the relevant tissue source (see above) (400 ng) in 5 μl of water. The diluted cDNA (2 μl, 160 ng) was then ligated to 2 μl of Adaptor 1 and Adaptor 2 (10 μM), in separate ligation reactions, in a total volume of 10 μl at 16° C. overnight, using 400 u of T4 DNA ligase (CLONTECH). Ligation was terminated with 1 μl of 0.2 M EDTA and heating at 72° C. for 5 min.

The first hybridization was performed by adding 1.5 μl (600 ng) of driver cDNA to each of two tubes containing 1.5 μl (20 ng) Adaptor 1- and Adaptor 2-ligated tester cDNA. In a final volume of 4 μl, the samples were overlaid with mineral oil, denatured in an MJ Research thermal cycler at 98° C. for 1.5 minutes, and then were allowed to hybridize for 8 hrs at 68° C. The two hybridizations were then mixed together with an additional 1 μl of fresh denatured driver cDNA and were allowed to hybridize overnight at 68° C. The second hybridization was then diluted in 200 μl of 20 mM Hepes, pH 8.3, 50 mM NaCl, 0.2 mM EDTA, heated at 70° C. for 7 min. and stored at −20° C.

PCR Amplification, Cloning and Sequencing of Gene Fragments Generated from SSH:

To amplify gene fragments resulting from SSH reactions, two PCR amplifications were performed. In the primary PCR reaction 1 μl of the diluted final hybridization mix was added to 1 μl of PCR primer 1 (10 μM), 0.5 μl dNTP mix (10 μM), 2.5 μl 10× reaction buffer (CLONTECH) and 0.5 μl 50× Advantage cDNA polymerase Mix (CLONTECH) in a final volume of 25 μl. PCR 1 was conducted using the following conditions: 75° C. for 5 min., 94° C. for 25 sec., then 27 cycles of 94° C. for 10 sec, 66° C. for 30 sec, 72° C. for 1.5 min. Five separate primary PCR reactions were performed for each experiment. The products were pooled and diluted 1:10 with water. For the secondary PCR reaction, 1 μl from the pooled and diluted primary PCR reaction was added to the same reaction mix as used for PCR 1, except that primers NP1 and NP2 (10 μM) were used instead of PCR primer 1. PCR 2 was performed using 10-12 cycles of 94° C. for 10 sec, 68° C. for 30 sec, and 72° C. for 1.5 minutes. The PCR products were analyzed using 2% agarose gel electrophoresis.

The PCR products were inserted into pCR2.1 using the T/A vector cloning kit (Invitrogen). Transformed E. coli were subjected to blue/white and ampicillin selection. White colonies were picked and arrayed into 96 well plates and were grown in liquid culture overnight. To identify inserts, PCR amplification was performed on 1 ml of bacterial culture using the conditions of PCR1 and NP1 and NP2 as primers. PCR products were analyzed using 2% agarose gel electrophoresis.

Bacterial clones were stored in 20% glycerol in a 96 well format. Plasmid DNA was prepared, sequenced, and subjected to nucleic acid homology searches of the GenBank, dBest, and NCI-CGAP databases.

RT-PCR Expression Analysis:

First strand cDNAs can be generated from 1 μg of mRNA with oligo (dT) 12-18 priming using the Gibco-BRL Superscript Preamplification system. The manufacturer's protocol was used which included an incubation for 50 min at 42° C. with reverse transcriptase followed by RNAse H treatment at 37° C. for 20 min. After completing the reaction, the volume can be increased to 200 μl with water prior to normalization. First strand cDNAs from 16 different normal human tissues can be obtained from Clontech.

Normalization of the first strand cDNAs from multiple tissues was performed by using the primers 5′atatcgccgcgctcgtcgtcgacaa3′ (SEQ ID NO:25) and 5′agccacacgcagctcattgtagaagg 3′ (SEQ ID NO:26) to amplify β-actin. First strand cDNA (5 μl) were amplified in a total volume of 50 μl containing 0.4 μM primers, 0.2 μM each dNTPs, 1×PCR buffer (Clontech, 10 mM Tris-HCL, 1.5 mM MgCl₂, 50 mM KCl, pH8.3) and 1× Klentaq DNA polymerase (Clontech). Five μl of the PCR reaction can be removed at 18, 20, and 22 cycles and used for agarose gel electrophoresis. PCR was performed using an MJ Research thermal cycler under the following conditions: Initial denaturation can be at 94° C. for 15 sec, followed by a 18, 20, and 22 cycles of 94° C. for 15, 65° C. for 2 min, 72° C. for 5 sec. A final extension at 72° C. was carried out for 2 min. After agarose gel electrophoresis, the band intensities of the 283 bp β-actin bands from multiple tissues were compared by visual inspection. Dilution factors for the first strand cDNAs were calculated to result in equal β-actin band intensities in all tissues after 22 cycles of PCR. Three rounds of normalization can be required to achieve equal band intensities in all tissues after 22 cycles of PCR.

To determine expression levels of the 254P1D6B gene, 5 μl of normalized first strand cDNA were analyzed by PCR using 26, and 30 cycles of amplification. Semi-quantitative expression analysis can be achieved by comparing the PCR products at cycle numbers that give light band intensities.

A typical RT-PCR expression analysis is shown in FIGS. 14( a) and 14(b). First strand cDNA was prepared from vital pool 1 (liver, lung and kidney), vital pool 2 (pancreas, colon and stomach), normal lung ovary cancer pool, lung cancer pool (FIG. 14A), as well as from normal stomach, brain, heart, liver, spleen, skeletal muscle, testis, prostate, bladder, kidney, colon, lung and ovary cancer pool (FIG. 14B). Normalization was performed by PCR using primers to actin and GAPDH. Semi-quantitative PCR, using primers to 254P1D6B, was performed at 26 and 30 cycles of amplification. Results show strong expression of 254P1D6B in lung cancer pool and ovary cancer pool but not in normal lung nor in vital pool 1. Low expression was detected in vital pool 2.

Example 2 Isolation of Full Length 254P1D6B Encoding DNA

To isolate genes that are involved in prostate cancer, an experiment was conducted using the prostate cancer xenograft LAPC-9AD². The gene 254P1D6B was derived from a subtraction consisting of a prostate cancer xenograft LAPC-9AD² minus prostate cancer xenograft LAPC-9AD. The SSH DNA sequence (FIG. 1) was designated 254P1D6B. Variants of 254P1D6B were identified (FIGS. 2 and 3).

Example 3 Chromosomal Mapping of 254P1D6B

Chromosomal localization can implicate genes in disease pathogenesis. Several chromosome mapping approaches are available including fluorescent in situ hybridization (FISH), human/hamster radiation hybrid (RH) panels (Walter et al., 1994; Nature Genetics 7:22; Research Genetics, Huntsville Ala.), human-rodent somatic cell hybrid panels such as is available from the Cornell Institute (Camden, N.J.), and genomic viewers utilizing BLAST homologies to sequenced and mapped genomic clones (NCBI, Bethesda, Md.).

254P1D6B maps to chromosome 6p22 using 254P1D6B sequence and the NCBI BLAST tool: located on the world wide web at: (ncbi.nlm.nih.gov/genome/seq/page.cgi?F=HsBlast.html&&ORG=Hs).

Example 4 Expression Analysis of 254P1D6B in Normal Tissues and Patient Specimens

FIGS. 14( a) and 14(b) shows expression of 254P1D6B by RT-PCR. First strand cDNA was prepared from vital pool 1 (liver, lung and kidney), vital pool 2 (pancreas, colon and stomach), normal lung ovary cancer pool, lung cancer pool (FIG. 14A), as well as from normal stomach, brain, heart, liver, spleen, skeletal muscle, testis, prostate, bladder, kidney, colon, lung and ovary cancer pool (FIG. 14B). Normalization was performed by PCR using primers to actin and GAPDH. Semi-quantitative PCR, using primers to 254P1D6B, was performed at 26 and 30 cycles of amplification. Results show strong expression of 254P1D6B in lung cancer pool and ovary cancer pool but not in normal lung nor in vital pool 1. Low expression was detected in vital pool 2.

FIG. 15 shows expression of 254P1D6B in normal tissues. Two multiple tissue northern blots (Clontech) both with 2 μg of mRNA/lane were probed with the 254P1D6B sequence. Size standards in kilobases (kb) are indicated on the side. Results show expression of two 254P1D6B transcript, 4.4 kb and 7.5 kb primarily in brain and testis, and only the 4.4 kb transcript in placenta, but not in any other normal tissue tested.

FIG. 16 shows expression of 254P1D6B in lung cancer patient specimens. First strand cDNA was prepared from normal lung cancer cell line A427 and a panel of lung cancer patient specimens. Normalization was performed by PCR using primers to actin and GAPDH. Semi-quantitative PCR, using primers to 254P1D6B, was performed at 26 and 30 cycles of amplification. Results show expression of 254P1D6B in 13 out of 30 tumor specimens tested but not in normal lung. Expression was also detected in the A427 cell line.

Example 5 Splice Variants of 254P1D6B

As used herein, the term variant or comprises Transcript variants and Single Nucleotide Polymorphisms (SNPs). Transcript variants are variants of mature mRNA from the same gene which arise by alternative transcription or alternative splicing. Alternative transcripts are transcripts from the same gene but start transcription at different points. Splice variants are mRNA variants spliced differently from the same transcript. In eukaryotes, when a multi-exon gene is transcribed from genomic DNA, the initial RNA is spliced to produce functional mRNA, which has only exons and is used for translation into an amino acid sequence. Accordingly, a given gene can have zero to many alternative transcripts and each transcript can have zero to many splice variants. Each transcript variant has a unique exon makeup, and can have different coding and/or non-coding (5′ or 3′ end) portions, from the original transcript. Transcript variants can code for the same, similar or different proteins with the same or a similar function or can encode proteins with different functions, and can be expressed in the same tissue at the same time, or in different tissues at the same time, or in the same tissue at different times, or in different tissues at different times. Proteins encoded by transcript variants can have similar or different subcellular or extracellular localizations, e.g., secreted versus intracellular.

Transcript variants are identified by a variety of art-accepted methods. For example, alternative transcripts and splice variants are identified by full-length cloning experiments, or by use of full-length transcript and EST sequences. First, all human ESTs were grouped into clusters which show direct or indirect identity with each other. Second, ESTs in the same cluster were further grouped into sub-clusters and assembled into a consensus sequence. The original gene sequence is compared to the consensus sequence(s) or other full-length sequences. Each consensus sequence is a potential splice variant for that gene. Even when a variant is identified that is not yet a full-length clone, that portion of the variant is very useful as a research tool, e.g., for antigen generation and for further cloning of the full-length splice variant, using techniques known to those skilled in the art.

Moreover, computer programs are available to those skilled in the art that identify transcript variants based on genomic sequences. Genomic-based transcript variant identification programs include FgenesH (A. Salamov and V. Solovyev, “Ab initio gene finding in Drosophila genomic DNA,” Genome Research. 2000 April; 10(4):516-22); Grail (URL compbio.ornl.gov/Grail-bin/EmptyGrailForm) and GenScan (URL genes.mit.edu/GENSCAN.html). For a general discussion of splice variant identification protocols see., e.g., Southan, C., A genomic perspective on human proteases, FEBS Lett. 2001 June 8; 498(2-3):214-8; de Souza, S. J., et al., Identification of human chromosome 22 transcribed sequences with ORF expressed sequence tags, Proc. Natl. Acad. Sci. USA. 2000 Nov. 7; 97(23):12690-3.

To further confirm the parameters of a transcript variant, a variety of techniques are available in the art, such as full-length cloning, proteomic validation, PCR-based validation, and 5′ RACE validation, etc. (see e.g., Proteomic Validation: Brennan, S. O., et al., Albumin banks peninsula: a new termination variant characterized by electrospray mass spectrometry, Biochem Biophys Acta. 1999 Aug. 17; 1433(1-2):321-6; Ferranti P, et al., Differential splicing of pre-messenger RNA produces multiple forms of mature caprine alpha(s1)-casein, Eur J Biochem. 1997 Oct. 1; 249(1):1-7. For PCR-based Validation: Wellmann S, et al., Specific reverse transcription-PCR quantification of vascular endothelial growth factor (VEGF) splice variants by LightCycler technology, Clin Chem. 2001 April; 47(4):654-60; Jia, H. P., et al., Discovery of new human beta-defensins using a genomics-based approach, Gene. 2001 Jan. 24; 263(1-2):211-8. For PCR-based and 5′ RACE Validation: Brigle, K. E., et al., Organization of the murine reduced folate carrier gene and identification of variant splice forms, Biochem Biophys Acta. 1997 Aug. 7; 1353(2): 191-8).

It is known in the art that genomic regions are modulated in cancers. When the genomic region to which a gene maps is modulated in a particular cancer, the alternative transcripts or splice variants of the gene are modulated as well. Disclosed herein is that 254P1D6B has a particular expression profile related to cancer (See, e.g., Table I). Alternative transcripts and splice variants of 254P1D6B are also be involved in cancers in the same or different tissues, thus serving as tumor-associated markers/antigens.

Using the full-length gene and EST sequences, one additional transcript variant was identified, designated as 254P1D6B v.3. The boundaries of exons in the original transcript, 254P1D6B v.1 are shown in Table LI. The structures of the transcript variants are shown in FIG. 10. Variant 254P1D6B v.3 extended exon 1 of v.1 by 109 base pairs and added an exon in between exons 2 and 3 of v.1.

Table LII shows nucleotide sequence of the transcript variant. Table LIII shows the alignment of the transcript variant with nucleic acid sequence of 254P1D6B v.1. Table LIV lays out amino acid translation of the transcript variant for the identified reading frame orientation. Table LV displays alignments of the amino acid sequence encoded by the splice variant with that of 254P1D6B v.1.

Example 6 Single Nucleotide Polymorphisms of 254P1D6B

A Single Nucleotide Polymorphism (SNP) is a single base pair variation in a nucleotide sequence at a specific location. At any given point of the genome, there are four possible nucleotide base pairs: A/T, C/G, G/C and T/A. Genotype refers to the specific base pair sequence of one or more locations in the genome of an individual. Haplotype refers to the base pair sequence of more than one location on the same DNA molecule (or the same chromosome in higher organisms), often in the context of one gene or in the context of several tightly linked genes. SNPs that occur on a cDNA are called cSNPs. These cSNPs may change amino acids of the protein encoded by the gene and thus change the functions of the protein. Some SNPs cause inherited diseases; others contribute to quantitative variations in phenotype and reactions to environmental factors including diet and drugs among individuals. Therefore, SNPs and/or combinations of alleles (called haplotypes) have many applications, including diagnosis of inherited diseases, determination of drug reactions and dosage, identification of genes responsible for diseases, and analysis of the genetic relationship between individuals (P. Nowotny, J. M. Kwon and A. M. Goate, “SNP analysis to dissect human traits,” Curr. Opin. Neurobiol. 2001 October; 11(5):637-641; M. Pirmohamed and B. K. Park, “Genetic susceptibility to adverse drug reactions,” Trends Pharmacol. Sci. 2001 June; 22(6):298-305; J. H. Riley, C. J. Allan, E. Lai and A. Roses, “The use of single nucleotide polymorphisms in the isolation of common disease genes,” Pharmacogenomics. 2000 February; 1(1):39-47; R. Judson, J. C. Stephens and A. Windemuth, “The predictive power of haplotypes in clinical response,” Pharmacogenomics. 2000 February; 1(1):15-26).

SNPs are identified by a variety of art-accepted methods (P. Bean, “The promising voyage of SNP target discovery,” Am. Clin. Lab. 2001 October-November; 20(9):18-20; K. M. Weiss, “In search of human variation,” Genome Res. 1998 July; 8(7):691-697; M. M. She, “Enabling large-scale pharmacogenetic studies by high-throughput mutation detection and genotyping technologies,” Clin. Chem. 2001 February; 47(2):164-172). For example, SNPs are identified by sequencing DNA fragments that show polymorphism by gel-based methods such as restriction fragment length polymorphism (RFLP) and denaturing gradient gel electrophoresis (DGGE). They can also be discovered by direct sequencing of DNA samples pooled from different individuals or by comparing sequences from different DNA samples. With the rapid accumulation of sequence data in public and private databases, one can discover SNPs by comparing sequences using computer programs (Z. Gu, L. Hillier and P. Y. Kwok, “Single nucleotide polymorphism hunting in cyberspace,” Hum. Mutat. 1998; 12(4):221-225). SNPs can be verified and genotype or haplotype of an individual can be determined by a variety of methods including direct sequencing and high throughput microarrays (P. Y. Kwok, “Methods for genotyping single nucleotide polymorphisms,” Annu. Rev. Genomics Hum. Genet. 2001; 2:235-258; M. Kokoris, K. Dix, K. Moynihan, J. Mathis, B. Erwin, P. Grass, B. Hines and A. Duesterhoeft, “High-throughput SNP genotyping with the Masscode system,” Mol. Diagn. 2000 December; 5(4):329-340).

Using the methods described above, seventeen SNPs were identified in the original transcript, 254P1D6B v.1, at positions 286 (C/G), 935 (C/A), 980 (T/G), 2347 (G/A), 3762 (C/T), 3772 (A/G), 3955 (C/T), 4096 (C/T), 4415 (G/A), 4519 (G/A), 4539 (A/G), 4614 (G/T), 5184 (G/C), 5528 (T/G), 5641 (G/A), 6221 (T/C) and 6223 (G/A). The transcripts or proteins with alternative alleles were designated as variants 254P1D6B v.4 through v.20, respectively. FIG. 12 shows the schematic alignment of the SNP variants. FIG. 11 shows the schematic alignment of protein variants, corresponding to nucleotide variants. Nucleotide variants that code for the same amino acid sequence as variant 1 are not shown in FIG. 11. These alleles of the SNPs, though shown separately here, can occur in different combinations (haplotypes, such as v.2) and in any one of the transcript variants (such as 254P1D6B v.3) that contains the sequence context of the SNPs.

Example 7 Production of Recombinant 254P1D6B in Prokaryotic Systems

To express recombinant 254P1D6b and 254P1D6b variants in prokaryotic cells, the full or partial length 254P1D6B and 254P1D6B variant cDNA sequences are cloned into any one of a variety of expression vectors known in the art. One or more of the following regions of 254P1D6B variants are expressed: the full length sequence presented in FIGS. 2 and 3, or any 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30 or more contiguous amino acids from 254P1D6B, variants, or analogs thereof.

A. In Vitro Transcription and Translation Constructs:

pCRII: To generate 254P1D6B sense and anti-sense RNA probes for RNA in situ investigations, pCRII constructs (Invitrogen, Carlsbad Calif.) are generated encoding either all or fragments of the 254P1D6B cDNA. The pCRII vector has Sp6 and T7 promoters flanking the insert to drive the transcription of 254P1D6B RNA for use as probes in RNA in situ hybridization experiments. These probes are used to analyze the cell and tissue expression of 254P1D6B at the RNA level. Transcribed 254P1D6B RNA representing the cDNA amino acid coding region of the 254P1D6B gene is used in in vitro translation systems such as the TnT™ Coupled Reticulolysate System (Promega, Corp., Madison, Wis.) to synthesize 254P1D6B protein.

B. Bacterial Constructs:

pGEX Constructs: To generate recombinant 254P1D6B proteins in bacteria that are fused to the Glutathione S-transferase (GST) protein, all or parts of the 254P1D6B cDNA protein coding sequence are cloned into the pGEX family of GST-fusion vectors (Amersham Pharmacia Biotech, Piscataway, N.J.). These constructs allow controlled expression of recombinant 254P1D6B protein sequences with GST fused at the amino-terminus and a six histidine epitope (6×His) at the carboxyl-terminus. The GST and 6×His tags permit purification of the recombinant fusion protein from induced bacteria with the appropriate affinity matrix and allow recognition of the fusion protein with anti-GST and anti-His antibodies. The 6×His tag is generated by adding 6 histidine codons to the cloning primer at the 3′ end, e.g., of the open reading frame (ORF). A proteolytic cleavage site, such as the PreScission™ recognition site in pGEX-6P-1, may be employed such that it permits cleavage of the GST tag from 254P1D6B-related protein. The ampicillin resistance gene and pBR322 origin permits selection and maintenance of the pGEX plasmids in E. coli.

pMAL Constructs:

To generate, in bacteria, recombinant 254P1D6B proteins that are fused to maltose-binding protein (MBP), all or parts of the 254P1D6B cDNA protein coding sequence are fused to the MBP gene by cloning into the pMAL-c2X and pMAL-p2X vectors (New England Biolabs, Beverly, Mass.). These constructs allow controlled expression of recombinant 254P1D6B protein sequences with MBP fused at the amino-terminus and a 6×His epitope tag at the carboxyl-terminus. The MBP and 6×His tags permit purification of the recombinant protein from induced bacteria with the appropriate affinity matrix and allow recognition of the fusion protein with anti-MBP and anti-His antibodies. The 6×His epitope tag is generated by adding 6 histidine codons to the 3′ cloning primer. A Factor Xa recognition site permits cleavage of the pMAL tag from 254P1D6B. The pMAL-c2X and pMAL-p2X vectors are optimized to express the recombinant protein in the cytoplasm or periplasm respectively. Periplasm expression enhances folding of proteins with disulfide bonds.

pET Constructs:

To express 254P1D6B in bacterial cells, all or parts of the 254P1D6B cDNA protein coding sequence are cloned into the pET family of vectors (Novagen, Madison, Wis.). These vectors allow tightly controlled expression of recombinant 254P1D6B protein in bacteria with and without fusion to proteins that enhance solubility, such as NusA and thioredoxin (Trx), and epitope tags, such as 6×His and S-Tag™ that aid purification and detection of the recombinant protein. For example, constructs are made utilizing pET NusA fusion system 43.1 such that regions of the 254P1D6B protein are expressed as amino-terminal fusions to NusA.

C. Yeast Constructs:

pESC Constructs:

To express 254P1D6B in the yeast species Saccharomyces cerevisiae for generation of recombinant protein and functional studies, all or parts of the 254P1D6B cDNA protein coding sequence are cloned into the pESC family of vectors each of which contain 1 of 4 selectable markers, HIS3, TRP1, LEU2, and URA3 (Stratagene, La Jolla, Calif.). These vectors allow controlled expression from the same plasmid of up to 2 different genes or cloned sequences containing either Flag™ or Myc epitope tags in the same yeast cell. This system is useful to confirm protein-protein interactions of 254P1D6B. In addition, expression in yeast yields similar post-translational modifications, such as glycosylations and phosphorylations that are found when expressed in eukaryotic cells.

pESP Constructs:

To express 254P1D6B in the yeast species Saccharomyces pombe, all or parts of the 254P1D6B cDNA protein coding sequence are cloned into the pESP family of vectors. These vectors allow controlled high level of expression of a 254P1D6B protein sequence that is fused at either the amino terminus or at the carboxyl terminus to GST which aids purification of the recombinant protein. A Flag™ epitope tag allows detection of the recombinant protein with anti-Flag™ antibody.

Example 8 Production of Recombinant 254P1D6B in Higher Eukaryotic Systems

A. Mammalian Constructs:

To express recombinant 254P1D6B in eukaryotic cells, the full or partial length 254P1D6B cDNA sequences were cloned into any one of a variety of expression vectors known in the art. One or more of the following regions of 254P1D6B were expressed in these constructs, amino acids 1 to 1072, or any 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30 or more contiguous amino acids from 254P1D6B v.1, v.2, v.5, and v.6; amino acids 1 to 1063 of v.3; or any 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30 or more contiguous amino acids from 254P1D6B variants, or analogs thereof.

The constructs can be transfected into any one of a wide variety of mammalian cells such as 293T cells. Transfected 293T cell lysates can be probed with the anti-254P1D6B polyclonal serum, described herein.

pcDNA4/HisMax Constructs:

To express 254P1D6B in mammalian cells, a 254P1D6B ORF, or portions thereof, of 254P1D6B are cloned into pcDNA4/HisMax Version A (Invitrogen, Carlsbad, Calif.). Protein expression is driven from the cytomegalovirus (CMV) promoter and the SP16 translational enhancer. The recombinant protein has Xpress™ and six histidine (6×His) epitopes fused to the amino-terminus. The pcDNA4/HisMax vector also contains the bovine growth hormone (BGH) polyadenylation signal and transcription termination sequence to enhance mRNA stability along with the SV40 origin for episomal replication and simple vector rescue in cell lines expressing the large T antigen. The Zeocin resistance gene allows for selection of mammalian cells expressing the protein and the ampicillin resistance gene and ColE1 origin permits selection and maintenance of the plasmid in E. coli.

pcDNA3.1/MycHis Constructs:

To express 254P1D6B in mammalian cells, a 254P1D6B ORF, or portions thereof, of 254P1D6B with a consensus Kozak translation initiation site was cloned into pcDNA3.1/MycHis Version A (Invitrogen, Carlsbad, Calif.). Protein expression was driven from the cytomegalovirus (CMV) promoter. The recombinant proteins have the myc epitope and 6×His epitope fused to the carboxyl-terminus. The pcDNA3.1/MycHis vector also contains the bovine growth hormone (BGH) polyadenylation signal and transcription termination sequence to enhance mRNA stability, along with the SV40 origin for episomal replication and simple vector rescue in cell lines expressing the large T antigen. The Neomycin resistance gene can be used, as it allows for selection of mammalian cells expressing the protein and the ampicillin resistance gene and ColE1 origin permits selection and maintenance of the plasmid in E. coli.

The complete ORF of 254P1D6B v.2 was cloned into the pcDNA3.1/MycHis construct to generate 254P1D6B.pcDNA3.1/MycHis. FIG. 17A shows expression of 254P1D6B.pcDNA3.1/MycHis following transfection into 293T cells. 293T cells were transfected with either 254P1D6B.pcDNA3.1/MycHis or pcDNA3.1/MycHis vector control. Forty hours later, cell lysates were collected. Samples were run on an SDS-PAGE acrylamide gel, blotted and stained with anti-his antibody. The blot was developed using the ECL chemiluminescence kit and visualized by autoradiography. Results show expression of 254P1D6B from the 254P1D6B.pcDNA3.1MycHis construct in the lysates of transfected cells.

pcDNA3.1/CT-GFP-TOPO Construct:

To express 254P1D6B in mammalian cells and to allow detection of the recombinant proteins using fluorescence, a 254P1D6B ORF, or portions thereof, with a consensus Kozak translation initiation site are cloned into pcDNA3.1/CT-GFP-TOPO (Invitrogen, Calif.). Protein expression is driven from the cytomegalovirus (CMV) promoter. The recombinant proteins have the Green Fluorescent Protein (GFP) fused to the carboxyl-terminus facilitating non-invasive, in vivo detection and cell biology studies. The pcDNA3.1 CT-GFP-TOPO vector also contains the bovine growth hormone (BGH) polyadenylation signal and transcription termination sequence to enhance mRNA stability along with the SV40 origin for episomal replication and simple vector rescue in cell lines expressing the large T antigen. The Neomycin resistance gene allows for selection of mammalian cells that express the protein and the ampicillin resistance gene and ColE1 origin permits selection and maintenance of the plasmid in E. coli. Additional constructs with an amino-terminal GFP fusion are made in pcDNA3.1/NT-GFP-TOPO spanning the entire length of a 254P1D6B protein.

PAPtag:

A 254P1D6B ORF, or portions thereof, is cloned into pAPtag-5 (GenHunter Corp. Nashville, Tenn.). This construct generates an alkaline phosphatase fusion at the carboxyl-terminus of a 254P1D6B protein while fusing the IgGK signal sequence to the amino-terminus. Constructs are also generated in which alkaline phosphatase with an amino-terminal IgGK signal sequence is fused to the amino-terminus of a 254P1D6B protein. The resulting recombinant 254P1D6B proteins are optimized for secretion into the media of transfected mammalian cells and can be used to identify proteins such as ligands or receptors that interact with 254P1D6B proteins. Protein expression is driven from the CMV promoter and the recombinant proteins also contain myc and 6×His epitopes fused at the carboxyl-terminus that facilitates detection and purification. The Zeocin resistance gene present in the vector allows for selection of mammalian cells expressing the recombinant protein and the ampicillin resistance gene permits selection of the plasmid in E. coli.

pTag5:

A 254P1D6B ORF, or portions thereof, were cloned into pTag-5. This vector is similar to pAPtag but without the alkaline phosphatase fusion. This construct generates 254P1D6B protein with an amino-terminal IgGK signal sequence and myc and 6×His epitope tags at the carboxyl-terminus that facilitate detection and affinity purification. The resulting recombinant 254P1D6B protein is optimized for secretion into the media of transfected mammalian cells, and is used as immunogen or ligand to identify proteins such as ligands or receptors that interact with the 254P1D6B proteins. Protein expression is driven from the CMV promoter. The Zeocin resistance gene present in the vector allows for selection of mammalian cells expressing the protein, and the ampicillin resistance gene permits selection of the plasmid in E. coli.

The extracellular domain, amino acids 26-953, of 254P1D6B v.1 was cloned into the pTag5 construct to generate 254P1D6B.pTag5. FIG. 17B shows expression and secretion of the extracellular domain of 254P1D6B following 254P1D6B.pTag5 vector transfection into 293T cells. 293T cells were transfected with 254P1D6B.pTag5 construct. Forty hours later, supernatant as well as cell lysates were collected. Samples were run on an SDS-PAGE acrylamide gel, blotted and stained with anti-his antibody. The blot was developed using the ECL chemiluminescence kit and visualized by autoradiography. Results show expression and secretion of 254P1D6B from the 254P1D6B.pTag5 transfected cells.

PsecFc:

A 254P1D6B ORF, or portions thereof, is also cloned into psecFc. The psecFc vector was assembled by cloning the human immunoglobulin G1 (IgG) Fc (hinge, CH2, CH3 regions) into pSecTag2 (Invitrogen, California). This construct generates an IgG1 Fc fusion at the carboxyl-terminus of the 254P1D6B proteins, while fusing the IgGK signal sequence to N-terminus. 254P1D6B fusions utilizing the murine IgG1 Fc region are also used. The resulting recombinant 254P1D6B proteins are optimized for secretion into the media of transfected mammalian cells, and can be used as immunogens or to identify proteins such as ligands or receptors that interact with 254P1D6B protein. Protein expression is driven from the CMV promoter. The hygromycin resistance gene present in the vector allows for selection of mammalian cells that express the recombinant protein, and the ampicillin resistance gene permits selection of the plasmid in E. coli.

pSRα Constructs:

To generate mammalian cell lines that express 254P1D6B constitutively, 254P1D6B ORF, or portions thereof, of 254P1D6B were cloned into pSRα constructs. Amphotropic and ecotropic retroviruses were generated by transfection of pSRα constructs into the 293T-10A1 packaging line or co-transfection of pSRα and a helper plasmid (containing deleted packaging sequences) into the 293 cells, respectively. The retrovirus is used to infect a variety of mammalian cell lines, resulting in the integration of the cloned gene, 254P1D6B, into the host cell-lines. Protein expression is driven from a long terminal repeat (LTR). The Neomycin resistance gene present in the vector allows for selection of mammalian cells that express the protein, and the ampicillin resistance gene and ColE1 origin permit selection and maintenance of the plasmid in E. coli. The retroviral vectors can thereafter be used for infection and generation of various cell lines using, for example, PC3, NIH 3T3, TsuPr1, 293 or rat-1 cells.

Additional pSRα constructs are made that fuse an epitope tag such as the FLAG™ tag to the carboxyl-terminus of 254P1D6B sequences to allow detection using anti-Flag™ antibodies. For example, the FLAG™ sequence 5′ gattacaaggat gacgacgataag 3′ (SEQ ID NO:27) is added to cloning primer at the 3′ end of the ORF. Additional pSRα constructs are made to produce both amino-terminal and carboxyl-terminal GFP and myc/6×His fusion proteins of the full-length 254P1D6B proteins.

Additional Viral Vectors:

Additional constructs are made for viral-mediated delivery and expression of 254P1D6B. High virus titer leading to high level expression of 254P1D6B is achieved in viral delivery systems such as adenoviral vectors and herpes amplicon vectors. A 254P1D6B coding sequences or fragments thereof are amplified by PCR and subcloned into the AdEasy shuttle vector (Stratagene). Recombination and virus packaging are performed according to the manufacturer's instructions to generate adenoviral vectors. Alternatively, 254P1D6B coding sequences or fragments thereof are cloned into the HSV-1 vector (Imgenex) to generate herpes viral vectors. The viral vectors are thereafter used for infection of various cell lines such as PC3, NIH 3T3, 293 or rat-1 cells.

Regulated Expression Systems:

To control expression of 254P1D6B in mammalian cells, coding sequences of 254P1D6B, or portions thereof, are cloned into regulated mammalian expression systems such as the T-Rex System (Invitrogen), the GeneSwitch System (Invitrogen) and the tightly-regulated Ecdysone System (Stratagene). These systems allow the study of the temporal and concentration dependent effects of recombinant 254P1D6B. These vectors are thereafter used to control expression of 254P1D6B in various cell lines such as PC3, NIH 3T3, 293 or rat-1 cells.

B. Baculovirus Expression Systems

To generate recombinant 254P1D6B proteins in a baculovirus expression system, 254P1D6B ORF, or portions thereof, are cloned into the baculovirus transfer vector pBlueBac 4.5 (Invitrogen), which provides a His-tag at the N-terminus. Specifically, pBlueBac-254P1D6B is co-transfected with helper plasmid pBac-N-Blue (Invitrogen) into SF9 (Spodoptera frugiperda) insect cells to generate recombinant baculovirus (see Invitrogen instruction manual for details). Baculovirus is then collected from cell supernatant and purified by plaque assay.

Recombinant 254P1D6B protein is then generated by infection of HighFive insect cells (Invitrogen) with purified baculovirus. Recombinant 254P1D6B protein can be detected using anti-254P1D6B or anti-His-tag antibody. 254P1D6B protein can be purified and used in various cell-based assays or as immunogen to generate polyclonal and monoclonal antibodies specific for 254P1D6B.

Example 9 Antigenicity Profiles and Secondary Structure

FIG. 5, FIG. 6, FIG. 7, FIG. 8, and FIG. 9 depict graphically five amino acid profiles of 254P1D6B variant 1, each assessment available by accessing the ProtScale website located on the World Wide Web at (.expasy.ch/cgi-bin/protscale.pl) on the ExPasy molecular biology server.

These profiles: FIG. 5, Hydrophilicity, (Hopp T. P., Woods K. R., 1981. Proc. Natl. Acad. Sci. U.S.A. 78:3824-3828); FIG. 6, Hydropathicity, (Kyte J., Doolittle R. F., 1982. J. Mol. Biol. 157:105-132); FIG. 7, Percentage Accessible Residues (Janin J., 1979 Nature 277:491-492); FIG. 8, Average Flexibility, (Bhaskaran R., and Ponnuswamy P. K., 1988. Int. J. Pept. Protein Res. 32:242-255); FIG. 9, Beta-turn (Deleage, G., Roux B. 1987 Protein Engineering 1:289-294); and optionally others available in the art, such as on the ProtScale website, were used to identify antigenic regions of each of the 254P1D6B variant proteins. Each of the above amino acid profiles of 254P1D6B variants were generated using the following ProtScale parameters for analysis: 1) A window size of 9; 2) 100% weight of the window edges compared to the window center; and, 3) amino acid profile values normalized to lie between 0 and 1.

Hydrophilicity (FIG. 5), Hydropathicity (FIG. 6) and Percentage Accessible Residues (FIG. 7) profiles were used to determine stretches of hydrophilic amino acids (i.e., values greater than 0.5 on the Hydrophilicity and Percentage Accessible Residues profile, and values less than 0.5 on the Hydropathicity profile). Such regions are likely to be exposed to the aqueous environment, be present on the surface of the protein, and thus available for immune recognition, such as by antibodies.

Average Flexibility (FIG. 8) and Beta-turn (FIG. 9) profiles determine stretches of amino acids (i.e., values greater than 0.5 on the Beta-turn profile and the Average Flexibility profile) that are not constrained in secondary structures such as beta sheets and alpha helices. Such regions are also more likely to be exposed on the protein and thus accessible to immune recognition, such as by antibodies.

Antigenic sequences of the 254P1D6B variant proteins indicated, e.g., by the profiles set forth in FIG. 5, FIG. 6, FIG. 7, FIG. 8, and/or FIG. 9 are used to prepare immunogens, either peptides or nucleic acids that encode them, to generate therapeutic and diagnostic anti-254P1D6B antibodies. The immunogen can be any 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 30, 35, 40, 45, 50 or more than 50 contiguous amino acids, or the corresponding nucleic acids that encode them, from the 254P1D6B protein variants listed in FIGS. 2 and 3. In particular, peptide immunogens of the invention can comprise, a peptide region of at least 5 amino acids of FIGS. 2 and 3 in any whole number increment that includes an amino acid position having a value greater than 0.5 in the Hydrophilicity profiles of FIG. 5; a peptide region of at least 5 amino acids of FIGS. 2 and 3 in any whole number increment that includes an amino acid position having a value less than 0.5 in the Hydropathicity profile of FIG. 6; a peptide region of at least 5 amino acids of FIGS. 2 and 3 in any whole number increment that includes an amino acid position having a value greater than 0.5 in the Percent Accessible Residues profiles of FIG. 7; a peptide region of at least 5 amino acids of FIGS. 2 and 3 in any whole number increment that includes an amino acid position having a value greater than 0.5 in the Average Flexibility profiles on FIG. 8; and, a peptide region of at least 5 amino acids of FIGS. 2 and 3 in any whole number increment that includes an amino acid position having a value greater than 0.5 in the Beta-turn profile of FIG. 9. Peptide immunogens of the invention can also comprise nucleic acids that encode any of the forgoing.

All immunogens of the invention, peptide or nucleic acid, can be embodied in human unit dose form, or comprised by a composition that includes a pharmaceutical excipient compatible with human physiology.

The secondary structure of 254P1D6B protein variant 1, namely the predicted presence and location of alpha helices, extended strands, and random coils, are predicted from the primary amino acid sequence using the HNN—Hierarchical Neural Network method (NPS@: Network Protein Sequence Analysis TIBS 2000 March Vol. 25, No 3 [291]:147-150 Combet C., Blanchet C., Geourjon C. and Deleage G., on the World Wide Web at pbil.ibcp.fr/cgi-bin/npsa_automat.pl?page=npsa_nn.html), accessed from the ExPasy molecular biology server located on the World Wide Web at (.expasy.ch/tools/). The analysis indicates that 254P1D6B variant 1 is composed of 18.19% alpha helix, 24.81% extended strand, and 57.00% random coil (FIG. 13A).

Analysis for the potential presence of transmembrane domains in the 254P1D6B variant protein 1 was carried out using a variety of transmembrane prediction algorithms accessed from the ExPasy molecular biology server located on the World Wide Web at (.expasy.ch/tools/). Shown graphically in FIG. 13B is the result of analysis of variant 1 using the TMpred program and in FIG. 13C results using the TMHMM program. Both the TMpred program and the TMHMM program predict the presence of 1 transmembrane domain. Analyses of the variants using other structural prediction programs are summarized in Table VI.

Example 10 Generation of 254P1D6B Polyclonal Antibodies

Polyclonal antibodies can be raised in a mammal, for example, by one or more injections of an immunizing agent and, if desired, an adjuvant. Typically, the immunizing agent and/or adjuvant will be injected in the mammal by multiple subcutaneous or intraperitoneal injections. In addition to immunizing with a full length 254P1D6B protein variant, computer algorithms are employed in design of immunogens that, based on amino acid sequence analysis contain characteristics of being antigenic and available for recognition by the immune system of the immunized host (see the Example entitled “Antigenicity Profiles and Secondary Structures”). Such regions would be predicted to be hydrophilic, flexible, in beta-turn conformations, and be exposed on the surface of the protein (see, e.g., FIG. 5, FIG. 6, FIG. 7, FIG. 8, or FIG. 9 for amino acid profiles that indicate such regions of 254P1D6B protein variant 1).

For example, recombinant bacterial fusion proteins or peptides containing hydrophilic, flexible, beta-turn regions of 254P1D6B protein variants are used as antigens to generate polyclonal antibodies in New Zealand White rabbits or monoclonal antibodies as described in the Example entitled “Generation of 254P1D6B Monoclonal Antibodies (mAbs)”. For example, in 254P1D6B variant 1, such regions include, but are not limited to, amino acids 21-32, amino acids 82-96, amino acids 147-182, amino acids 242-270, amino acids 618-638, amino acids 791-818, and amino acids 980-1072. It is useful to conjugate the immunizing agent to a protein known to be immunogenic in the mammal being immunized. Examples of such immunogenic proteins include, but are not limited to, keyhole limpet hemocyanin (KLH), serum albumin, bovine thyroglobulin, and soybean trypsin inhibitor. In one embodiment, a peptide encoding amino acids 147-182 of 254P1D6B variant 1 was conjugated to KLH and used to immunize a rabbit. Alternatively the immunizing agent may include all or portions of the 254P1D6B variant proteins, analogs or fusion proteins thereof. For example, the 254P1D6B variant 1 amino acid sequence can be fused using recombinant DNA techniques to any one of a variety of fusion protein partners that are well known in the art, such as glutathione-S-transferase (GST) and HIS tagged fusion proteins. In another embodiment, amino acids 980-1072 of 254P1D6B variant 1 is fused to GST using recombinant techniques and the pGEX expression vector, expressed, purified and used to immunize a rabbit. Such fusion proteins are purified from induced bacteria using the appropriate affinity matrix.

Other recombinant bacterial fusion proteins that may be employed include maltose binding protein, LacZ, thioredoxin, NusA, or an immunoglobulin constant region (see the section entitled “Production of 254P1D6B in Prokaryotic Systems” and Current Protocols In Molecular Biology, Volume 2, Unit 16, Frederick M. Ausubul et al. eds., 1995; Linsley, P.S., Brady, W., Umes, M., Grosmaire, L., Damle, N., and Ledbetter, L. (1991) J. Exp. Med. 174, 561-566).

In addition to bacterial derived fusion proteins, mammalian expressed protein antigens are also used. These antigens are expressed from mammalian expression vectors such as the Tag5 and Fc-fusion vectors (see the section entitled “Production of Recombinant 254P1D6B in Eukaryotic Systems”), and retains post-translational modifications such as glycosylations found in native protein. In one embodiment, amino acids 26-953 of 254P1D6B variant 1 was cloned into the Tag5 mammalian secretion vector, and expressed in 293T cells (FIG. 17). The recombinant protein is purified by metal chelate chromatography from tissue culture supernatants of 293T cells stably expressing the recombinant vector. The purified Tag5 254P1D6B protein is then used as immunogen.

During the immunization protocol, it is useful to mix or emulsify the antigen in adjuvants that enhance the immune response of the host animal. Examples of adjuvants include, but are not limited to, complete Freund's adjuvant (CFA) and MPL-TDM adjuvant (monophosphoryl Lipid A, synthetic trehalose dicorynomycolate).

In a typical protocol, rabbits are initially immunized subcutaneously with up to 200 μg, typically 100-200 μg, of fusion protein or peptide conjugated to KLH mixed in complete Freund's adjuvant (CFA). Rabbits are then injected subcutaneously every two weeks with up to 200 μg, typically 100-200 μg, of the immunogen in incomplete Freund's adjuvant (IFA). Test bleeds are taken approximately 7-10 days following each immunization and used to monitor the titer of the antiserum by ELISA.

To test reactivity and specificity of immune serum, such as the rabbit serum derived from immunization with the GST-fusion of 254P1D6B variant 1 protein, the full-length 254P1D6B variant 1 cDNA is cloned into pcDNA 3.1 myc-his expression vector (Invitrogen, see the Example entitled “Production of Recombinant 254P1D6B in Eukaryotic Systems”). After transfection of the constructs into 293T cells, cell lysates are probed with the anti-254P1D6B serum and with anti-His antibody (Santa Cruz Biotechnologies, Santa Cruz, Calif.) to determine specific reactivity to denatured 254P1D6B protein using the Western blot technique (FIG. 17). In addition, the immune serum is tested by fluorescence microscopy, flow cytometry and immunoprecipitation against 293T and other recombinant 254P1D6B-expressing cells to determine specific recognition of native protein. Western blot, immunoprecipitation, fluorescent microscopy, and flow cytometric techniques using cells that endogenously express 254P1D6B are also carried out to test reactivity and specificity.

Anti-serum from rabbits immunized with 254P1D6B variant fusion proteins, such as GST and MBP fusion proteins, are purified by depletion of antibodies reactive to the fusion partner sequence by passage over an affinity column containing the fusion partner either alone or in the context of an irrelevant fusion protein. For example, antiserum derived from a GST-254P1D6B variant 1 fusion protein is first purified by passage over a column of GST protein covalently coupled to AffiGel matrix (BioRad, Hercules, Calif.). The antiserum is then affinity purified by passage over a column composed of a MBP-254P1D6B fusion protein covalently coupled to Affigel matrix. The serum is then further purified by protein G affinity chromatography to isolate the IgG fraction. Sera from other His-tagged antigens and peptide immunized rabbits as well as fusion partner depleted sera are affinity purified by passage over a column matrix composed of the original protein immunogen or free peptide.

Example 11 Generation of 254P1D6B Monoclonal Antibodies (mAbs)

In one embodiment, therapeutic mAbs to 254P1D6B variants comprise those that react with epitopes specific for each variant protein or specific to sequences in common between the variants that would disrupt or modulate the biological function of the 254P1D6B variants, for example those that would disrupt the interaction with ligands and binding partners. Immunogens for generation of such mAbs include those designed to encode or contain the entire 254P1D6B protein variant sequence, regions predicted to contain functional motifs, and regions of the 254P1D6B protein variants predicted to be antigenic from computer analysis of the amino acid sequence (see, e.g., FIG. 5, FIG. 6, FIG. 7, FIG. 8, or FIG. 9, and the Example entitled “Antigenicity Profiles and Secondary Structures”). Immunogens include peptides, recombinant bacterial proteins, and mammalian expressed Tag 5 proteins and human and murine IgG FC fusion proteins. In addition, cells engineered to express high levels of a respective 254P1D6B variant, such as 293T-254P1D6B variant 1 or 300.19-254P1D6B variant 1 murine Pre-B cells, are used to immunize mice.

To generate mAbs to a 254P1D6B variant, mice are first immunized intraperitoneally (IP) with, typically, 10-50 μg of protein immunogen or 10⁷ 254P1D6B-expressing cells mixed in complete Freund's adjuvant. Mice are then subsequently immunized IP every 2-4 weeks with, typically, 10-50 μg of protein immunogen or 10⁷ cells mixed in incomplete Freund's adjuvant. Alternatively, MPL-TDM adjuvant is used in immunizations. In addition to the above protein and cell-based immunization strategies, a DNA-based immunization protocol is employed in which a mammalian expression vector encoding a 254P1D6B variant sequence is used to immunize mice by direct injection of the plasmid DNA. For example, amino acids 26-953 of 254P1D6B of variant 1 is cloned into the Tag5 mammalian secretion vector and the recombinant vector will then be used as immunogen. In another example the same amino acids are cloned into an Fc-fusion secretion vector in which the 254P1D6B variant 1 sequence is fused at the amino-terminus to an IgK leader sequence and at the carboxyl-terminus to the coding sequence of the human or murine IgG Fc region. This recombinant vector is then used as immunogen. The plasmid immunization protocols are used in combination with purified proteins expressed from the same vector and with cells expressing the respective 254P1D6B variant.

Alternatively, mice may be immunized directly into their footpads. In this case, 10-50 μg of protein immunogen or 10⁷ 254P1D6B-expressing cells are injected sub-cutaneously into the footpad of each hind leg. The first immunization is given with Titermax (Sigma™) as an adjuvant and subsequent injections are given with Alum-gel in conjunction with CpG oligonucleotide sequences with the exception of the final injection which is given with PBS. Injections are given twice weekly (every three to four days) for a period of 4 weeks and mice are sacrificed 3-4 days after the final injection, at which point lymph nodes immediately draining from the footpad are harvested and the B-cells are collected for use as antibody producing fusion partners.

During the immunization protocol, test bleeds are taken 7-10 days following an injection to monitor titer and specificity of the immune response. Once appropriate reactivity and specificity is obtained as determined by ELISA, Western blotting, immunoprecipitation, fluorescence microscopy, and flow cytometric analyses, fusion and hybridoma generation is then carried out with established procedures well known in the art (see, e.g., Harlow and Lane, 1988).

In one embodiment for generating 254P1D6B monoclonal antibodies, a GST-fusion of variant 1 antigen encoding amino acids 21-182 is expressed and purified from bacteria. Balb C mice are initially immunized intraperitoneally with 25 μg of the GST-254P1D6B variant 1 protein mixed in complete Freund's adjuvant. Mice are subsequently immunized every two weeks with 25 μg of the antigen mixed in incomplete Freund's adjuvant for a total of three immunizations. ELISA using the GST-fusion antigen and a cleavage product from which the GST portion is removed determines the titer of serum from immunized mice. Reactivity and specificity of serum to full length 254P1D6B variant 1 protein is monitored by Western blotting, immunoprecipitation and flow cytometry using 293T cells transfected with an expression vector encoding the 254P1D6B variant 1 cDNA (see e.g., the Example entitled “Production of Recombinant 254P1D6B in Eukaryotic Systems” and FIG. 17). Other recombinant 254P1D6B variant 1-expressing cells or cells endogenously expressing 254P1D6B variant 1 are also used. Mice showing the strongest reactivity are rested and given a final injection of antigen in PBS and then sacrificed four days later. The spleens of the sacrificed mice are harvested and fused to SPO/2 myeloma cells using standard procedures (Harlow and Lane, 1988). Supernatants from HAT selected growth wells are screened by ELISA, Western blot, immunoprecipitation, fluorescent microscopy, and flow cytometry to identify 254P1D6B specific antibody-producing clones.

The binding affinity of 254P1D6B variant specific monoclonal antibodies is determined using standard technologies. Affinity measurements quantify the strength of antibody to epitope binding and are used to help define which 254P1D6B variant monoclonal antibodies preferred for diagnostic or therapeutic use, as appreciated by one of skill in the art. The BIAcore system (Uppsala, Sweden) is a preferred method for determining binding affinity. The BIAcore system uses surface plasmon resonance (SPR, Welford K. 1991, Opt. Quant. Elect. 23:1; Morton and Myszka, 1998, Methods in Enzymology 295: 268) to monitor biomolecular interactions in real time. BIAcore analysis conveniently generates association rate constants, dissociation rate constants, equilibrium dissociation constants, and affinity constants.

Example 12 HLA Class I and Class II Binding Assays

HLA class I and class II binding assays using purified HLA molecules are performed in accordance with disclosed protocols (e.g., PCT publications WO 94/20127 and WO 94/03205; Sidney et al., Current Protocols in Immunology 18.3.1 (1998); Sidney, et al., J. Immunol. 154:247 (1995); Sette, et al., Mol. Immunol. 31:813 (1994)). Briefly, purified MHC molecules (5 to 500 nM) are incubated with various unlabeled peptide inhibitors and 1-10 nM ¹²⁵I-radiolabeled probe peptides as described. Following incubation, MHC-peptide complexes are separated from free peptide by gel filtration and the fraction of peptide bound is determined. Typically, in preliminary experiments, each MHC preparation is titered in the presence of fixed amounts of radiolabeled peptides to determine the concentration of HLA molecules necessary to bind 10-20% of the total radioactivity. All subsequent inhibition and direct binding assays are performed using these HLA concentrations.

Since under these conditions [label]<[HLA] and IC₅₀≧[HLA], the measured IC₅₀ values are reasonable approximations of the true K_(D) values. Peptide inhibitors are typically tested at concentrations ranging from 120 μg/ml to 1.2 ng/ml, and are tested in two to four completely independent experiments. To allow comparison of the data obtained in different experiments, a relative binding Figure is calculated for each peptide by dividing the IC₅₀ of a positive control for inhibition by the IC₅₀ for each tested peptide (typically unlabeled versions of the radiolabeled probe peptide). For database purposes, and inter-experiment comparisons, relative binding values are compiled. These values can subsequently be converted back into IC₅₀ nM values by dividing the IC₅₀ nM of the positive controls for inhibition by the relative binding of the peptide of interest. This method of data compilation is accurate and consistent for comparing peptides that have been tested on different days, or with different lots of purified MHC.

Binding assays as outlined above may be used to analyze HLA supermotif and/or HLA motif-bearing peptides (see Table IV).

Example 13 Identification of HLA Supermotif- and Motif-Bearing CTL Candidate Epitopes

HLA vaccine compositions of the invention can include multiple epitopes. The multiple epitopes can comprise multiple HLA supermotifs or motifs to achieve broad population coverage. This example illustrates the identification and confirmation of supermotif- and motif-bearing epitopes for the inclusion in such a vaccine composition. Calculation of population coverage is performed using the strategy described below.

Computer Searches and Algorithms for Identification of Supermotif and/or Motif-Bearing Epitopes

The searches performed to identify the motif-bearing peptide sequences in the Example entitled “Antigenicity Profiles” and Tables VIII-XXI and XXII-XLIX employ the protein sequence data from the gene product of 254P1D6B set forth in FIGS. 2 and 3, the specific search peptides used to generate the tables are listed in Table VII.

Computer searches for epitopes bearing HLA Class I or Class II supermotifs or motifs are performed as follows. All translated 254P1D6B protein sequences are analyzed using a text string search software program to identify potential peptide sequences containing appropriate HLA binding motifs; such programs are readily produced in accordance with information in the art in view of known motif/supermotif disclosures. Furthermore, such calculations can be made mentally.

Identified A2-, A3-, and DR-supermotif sequences are scored using polynomial algorithms to predict their capacity to bind to specific HLA-Class I or Class II molecules. These polynomial algorithms account for the impact of different amino acids at different positions, and are essentially based on the premise that the overall affinity (or AG) of peptide-HLA molecule interactions can be approximated as a linear polynomial function of the type: “ΔG”=a _(1i) ×a _(2i) ×a _(3i) . . . ×a _(ni)

where a_(ji) is a coefficient which represents the effect of the presence of a given amino acid (j) at a given position (i) along the sequence of a peptide of n amino acids. The crucial assumption of this method is that the effects at each position are essentially independent of each other (i.e., independent binding of individual side-chains). When residue j occurs at position i in the peptide, it is assumed to contribute a constant amount j_(i) to the free energy of binding of the peptide irrespective of the sequence of the rest of the peptide.

The method of derivation of specific algorithm coefficients has been described in Gulukota et al., J. Mol. Biol. 267:1258-126, 1997; (see also Sidney et al., Human Immunol. 45:79-93, 1996; and Southwood et al., J. Immunol. 160:3363-3373, 1998). Briefly, for all i positions, anchor and non-anchor alike, the geometric mean of the average relative binding (ARB) of all peptides carrying j is calculated relative to the remainder of the group, and used as the estimate of j_(i). For Class II peptides, if multiple alignments are possible, only the highest scoring alignment is utilized, following an iterative procedure. To calculate an algorithm score of a given peptide in a test set, the ARB values corresponding to the sequence of the peptide are multiplied. If this product exceeds a chosen threshold, the peptide is predicted to bind. Appropriate thresholds are chosen as a function of the degree of stringency of prediction desired.

Selection of HLA-A2 Supertype Cross-Reactive Peptides

Protein sequences from 254P1D6B are scanned utilizing motif identification software, to identify 8-, 9-10- and 11-mer sequences containing the HLA-A2-supermotif main anchor specificity. Typically, these sequences are then scored using the protocol described above and the peptides corresponding to the positive-scoring sequences are synthesized and tested for their capacity to bind purified HLA-A*0201 molecules in vitro (HLA-A*0201 is considered a prototype A2 supertype molecule).

These peptides are then tested for the capacity to bind to additional A2-supertype molecules (A*0202, A*0203, A*0206, and A*6802). Peptides that bind to at least three of the five A2-supertype alleles tested are typically deemed A2-supertype cross-reactive binders. Preferred peptides bind at an affinity equal to or less than 500 nM to three or more HLA-A2 supertype molecules.

Selection of HLA-A3 Supermotif-Bearing Epitopes

The 254P1D6B protein sequence(s) scanned above is also examined for the presence of peptides with the HLA-A3-supermotif primary anchors. Peptides corresponding to the HLA A3 supermotif-bearing sequences are then synthesized and tested for binding to HLA-A*0301 and HLA-A*1101 molecules, the molecules encoded by the two most prevalent A3-supertype alleles. The peptides that bind at least one of the two alleles with binding affinities of ≦500 nM, often ≦200 nM, are then tested for binding cross-reactivity to the other common A3-supertype alleles (e.g., A*3101, A*3301, and A*6801) to identify those that can bind at least three of the five HLA-A3-supertype molecules tested.

Selection of HLA-B7 Supermotif Bearing Epitopes

The 254P1D6B protein(s) scanned above is also analyzed for the presence of 8-, 9-10-, or 1-mer peptides with the HLA-B7-supermotif. Corresponding peptides are synthesized and tested for binding to HLA-B*0702, the molecule encoded by the most common B7-supertype allele (i.e., the prototype B7 supertype allele). Peptides binding B*0702 with IC₅₀ of ≦500 nM are identified using standard methods. These peptides are then tested for binding to other common B7-supertype molecules (e.g., B*3501, B*5101, B*5301, and B*5401). Peptides capable of binding to three or more of the five B7-supertype alleles tested are thereby identified.

Selection of A1 and A24 Motif-Bearing Epitopes

To further increase population coverage, HLA-A1 and -A24 epitopes can also be incorporated into vaccine compositions. An analysis of the 254P1D6B protein can also be performed to identify HLA-A1- and A24-motif-containing sequences.

High affinity and/or cross-reactive binding epitopes that bear other motif and/or supermotifs are identified using analogous methodology.

Example 14 Confirmation of Immunogenicity

Cross-reactive candidate CTL A2-supermotif-bearing peptides that are identified as described herein are selected to confirm in vitro immunogenicity. Confirmation is performed using the following methodology:

Target Cell Lines for Cellular Screening:

The 0.221A2.1 cell line, produced by transferring the HLA-A2.1 gene into the HLA-A, -B, —C null mutant human B-lymphoblastoid cell line 721.221, is used as the peptide-loaded target to measure activity of HLA-A2.1-restricted CTL. This cell line is grown in RPMI-1640 medium supplemented with antibiotics, sodium pyruvate, nonessential amino acids and 10% (v/v) heat inactivated FCS. Cells that express an antigen of interest, or transfectants comprising the gene encoding the antigen of interest, can be used as target cells to confirm the ability of peptide-specific CTLs to recognize endogenous antigen.

Primary CTL Induction Cultures:

Generation of Dendritic Cells (DC):

PBMCs are thawed in RPMI with 30 g/ml DNAse, washed twice and resuspended in complete medium (RPMI-1640 plus 5% AB human serum, non-essential amino acids, sodium pyruvate, L-glutamine and penicillin/streptomycin). The monocytes are purified by plating 10×10⁶ PBMC/well in a 6-well plate. After 2 hours at 37° C., the non-adherent cells are removed by gently shaking the plates and aspirating the supernatants. The wells are washed a total of three times with 3 ml RPMI to remove most of the non-adherent and loosely adherent cells. Three ml of complete medium containing 50 ng/ml of GM-CSF and 1,000 U/ml of IL-4 are then added to each well. TNFα is added to the DCs on day 6 at 75 ng/ml and the cells are used for CTL induction cultures on day 7.

Induction of CTL with DC and Peptide:

CD8+ T-cells are isolated by positive selection with Dynal immunomagnetic beads (Dynabeads® M-450) and the Detacha-Bead™ reagent. Typically about 200−250×10⁶ PBMC are processed to obtain 24×10⁶ CD8′ T-cells (enough for a 48-well plate culture). Briefly, the PBMCs are thawed in RPMI with 30 μg/ml DNAse, washed once with PBS containing 1% human AB serum and resuspended in PBS/1% AB serum at a concentration of 20×10⁶ cells/ml. The magnetic beads are washed 3 times with PBS/AB serum, added to the cells (140 μl beads/20×10⁶ cells) and incubated for 1 hour at 4° C. with continuous mixing. The beads and cells are washed 4× with PBS/AB serum to remove the nonadherent cells and resuspended at 100×10⁶ cells/ml (based on the original cell number) in PBS/AB serum containing 100 μl/ml Detacha-Bead® reagent and 30 μg/ml DNAse. The mixture is incubated for 1 hour at room temperature with continuous mixing. The beads are washed again with PBS/AB/DNAse to collect the CD8+ T-cells. The DC are collected and centrifuged at 1300 rpm for 5-7 minutes, washed once with PBS with 1% BSA, counted and pulsed with 40 μg/ml of peptide at a cell concentration of 1−2×10⁶/ml in the presence of 3 μg/ml 82-microglobulin for 4 hours at 20° C. The DC are then irradiated (4,200 rads), washed 1 time with medium and counted again.

Setting Up Induction Cultures:

0.25 ml cytokine-generated DC (at 1×10⁵ cells/ml) are co-cultured with 0.25 ml of CD8+ T-cells (at 2×10⁶ cell/ml) in each well of a 48-well plate in the presence of 10 ng/ml of IL-7. Recombinant human IL-10 is added the next day at a final concentration of 10 ng/ml and rhuman IL-2 is added 48 hours later at 10 IU/ml.

Restimulation of the Induction Cultures with Peptide-Pulsed Adherent Cells:

Seven and fourteen days after the primary induction, the cells are restimulated with peptide-pulsed adherent cells. The PBMCs are thawed and washed twice with RPMI and DNAse. The cells are resuspended at 5×10⁶ cells/ml and irradiated at 4200 rads. The PBMCs are plated at 2×10⁶ in 0.5 ml complete medium per well and incubated for 2 hours at 37° C. The plates are washed twice with RPMI by tapping the plate gently to remove the nonadherent cells and the adherent cells pulsed with 10 μg/ml of peptide in the presence of 3 μg/ml 82 microglobulin in 0.25 ml RPMI/5% AB per well for 2 hours at 37° C. Peptide solution from each well is aspirated and the wells are washed once with RPMI. Most of the media is aspirated from the induction cultures (CD8+ cells) and brought to 0.5 ml with fresh media. The cells are then transferred to the wells containing the peptide-pulsed adherent cells. Twenty four hours later recombinant human IL-10 is added at a final concentration of 10 ng/ml and recombinant human IL2 is added the next day and again 2-3 days later at 501 U/ml (Tsai et al., Critical Reviews in Immunology 18(1-2):65-75, 1998). Seven days later, the cultures are assayed for CTL activity in a ⁵¹Cr release assay. In some experiments the cultures are assayed for peptide-specific recognition in the in situ IFNγ ELISA at the time of the second restimulation followed by assay of endogenous recognition 7 days later. After expansion, activity is measured in both assays for a side-by-side comparison.

Measurement of CTL Lytic Activity by ⁵¹Cr Release.

Seven days after the second restimulation, cytotoxicity is determined in a standard (5 hr) ⁵¹Cr release assay by assaying individual wells at a single E:T. Peptide-pulsed targets are prepared by incubating the cells with 10 μg/ml peptide overnight at 37° C.

Adherent target cells are removed from culture flasks with trypsin-EDTA. Target cells are labeled with 200 μCi of ⁵¹Cr sodium chromate (Dupont, Wilmington, Del.) for 1 hour at 37° C. Labeled target cells are resuspended at 10⁶ per ml and diluted 1:10 with K562 cells at a concentration of 3.3×10⁶/ml (an NK-sensitive erythroblastoma cell line used to reduce non-specific lysis). Target cells (100 μl) and effectors (100 μl) are plated in 96 well round-bottom plates and incubated for 5 hours at 37° C. At that time, 100 μl of supernatant are collected from each well and percent lysis is determined according to the formula: [(cpm of the test sample-cpm of the spontaneous ⁵¹Cr release sample)/(cpm of the maximal ⁵¹Cr release sample-cpm of the spontaneous ⁵¹Cr release sample)]×100.

Maximum and spontaneous release are determined by incubating the labeled targets with 1% Triton X-100 and media alone, respectively. A positive culture is defined as one in which the specific lysis (sample-background) is 10% or higher in the case of individual wells and is 15% or more at the two highest E:T ratios when expanded cultures are assayed.

In Situ Measurement of Human IFNγ Production as an Indicator of Peptide-Specific and Endogenous Recognition

Immulon 2 plates are coated with mouse anti-human IFNγ monoclonal antibody (4 μg/ml 0.1M NaHCO₃, pH8.2) overnight at 4° C. The plates are washed with Ca²⁺, Mg²⁺-free PBS/0.05% Tween 20 and blocked with PBS/10% FCS for two hours, after which the CTLs (100 μl/well) and targets (100 μl/well) are added to each well, leaving empty wells for the standards and blanks (which received media only). The target cells, either peptide-pulsed or endogenous targets, are used at a concentration of 1×10⁶ cells/ml. The plates are incubated for 48 hours at 37° C. with 5% CO₂.

Recombinant human IFN-gamma is added to the standard wells starting at 400 pg or 1200 pg/100 microliter/well and the plate incubated for two hours at 37° C. The plates are washed and 100 μl of biotinylated mouse anti-human IFN-gamma monoclonal antibody (2 microgram/ml in PBS/3% FCS/0.05% Tween 20) are added and incubated for 2 hours at room temperature. After washing again, 100 microliter HRP-streptavidin (1:4000) are added and the plates incubated for one hour at room temperature. The plates are then washed 6× with wash buffer, 100 microliter/well developing solution (TMB 1:1) are added, and the plates allowed to develop for 5-15 minutes. The reaction is stopped with 50 microliter/well 1M H₃PO₄ and read at OD450. A culture is considered positive if it measured at least 50 pg of IFN-gamma/well above background and is twice the background level of expression.

CTL Expansion.

Those cultures that demonstrate specific lytic activity against peptide-pulsed targets and/or tumor targets are expanded over a two week period with anti-CD3. Briefly, 5×10⁴ CD8+ cells are added to a T25 flask containing the following: 1×10⁶ irradiated (4,200 rad) PBMC (autologous or allogeneic) per ml, 2×10⁵ irradiated (8,000 rad) EBV-transformed cells per ml, and OKT3 (anti-CD3) at 30 ng per ml in RPMI-1640 containing 10% (v/v) human AB serum, non-essential amino acids, sodium pyruvate, 25 μM 2-mercaptoethanol, L-glutamine and penicillin/streptomycin. Recombinant human IL2 is added 24 hours later at a final concentration of 2001 U/ml and every three days thereafter with fresh media at 501 U/ml. The cells are split if the cell concentration exceeds 1×10⁶/ml and the cultures are assayed between days 13 and 15 at E:T ratios of 30, 10, 3 and 1:1 in the ⁵¹Cr release assay or at 1×10⁶/ml in the in situ IFNγ assay using the same targets as before the expansion.

Cultures are expanded in the absence of anti-CD3⁺ as follows. Those cultures that demonstrate specific lytic activity against peptide and endogenous targets are selected and 5×10⁴ CD8⁺ cells are added to a T25 flask containing the following: 1×10⁶ autologous PBMC per ml which have been peptide-pulsed with 10 μg/ml peptide for two hours at 37° C. and irradiated (4,200 rad); 2×10⁵ irradiated (8,000 rad) EBV-transformed cells per ml RPMI-1640 containing 10% (v/v) human AB serum, non-essential AA, sodium pyruvate, 25 mM 2-ME, L-glutamine and gentamicin.

Immunogenicity of A2 Supermotif-Bearing Peptides

A2-supermotif cross-reactive binding peptides are tested in the cellular assay for the ability to induce peptide-specific CTL in normal individuals. In this analysis, a peptide is typically considered to be an epitope if it induces peptide-specific CTLs in at least individuals, and preferably, also recognizes the endogenously expressed peptide.

Immunogenicity can also be confirmed using PBMCs isolated from patients bearing a tumor that expresses 254P1D6B. Briefly, PBMCs are isolated from patients, re-stimulated with peptide-pulsed monocytes and assayed for the ability to recognize peptide-pulsed target cells as well as transfected cells endogenously expressing the antigen.

Evaluation of A*03/A11 Immunogenicity

HLA-A3 supermotif-bearing cross-reactive binding peptides are also evaluated for immunogenicity using methodology analogous for that used to evaluate the immunogenicity of the HLA-A2 supermotif peptides.

Evaluation of B7 Immunogenicity

Immunogenicity screening of the B7-supertype cross-reactive binding peptides identified as set forth herein are confirmed in a manner analogous to the confirmation of A2- and A3-supermotif-bearing peptides.

Peptides bearing other supermotifs/motifs, e.g., HLA-A1, HLA-A24 etc. are also confirmed using similar methodology

Example 15 Implementation of the Extended Supermotif to Improve the Binding Capacity of Native Epitopes by Creating Analogs

HLA motifs and supermotifs (comprising primary and/or secondary residues) are useful in the identification and preparation of highly cross-reactive native peptides, as demonstrated herein. Moreover, the definition of HLA motifs and supermotifs also allows one to engineer highly cross-reactive epitopes by identifying residues within a native peptide sequence which can be analoged to confer upon the peptide certain characteristics, e.g. greater cross-reactivity within the group of HLA molecules that comprise a supertype, and/or greater binding affinity for some or all of those HLA molecules. Examples of analoging peptides to exhibit modulated binding affinity are set forth in this example.

Analoging at Primary Anchor Residues

Peptide engineering strategies are implemented to further increase the cross-reactivity of the epitopes. For example, the main anchors of A2-supermotif-bearing peptides are altered, for example, to introduce a preferred L, I, V, or M at position 2, and I or V at the C-terminus.

To analyze the cross-reactivity of the analog peptides, each engineered analog is initially tested for binding to the prototype A2 supertype allele A*0201, then, if A*0201 binding capacity is maintained, for A2-supertype cross-reactivity.

Alternatively, a peptide is confirmed as binding one or all supertype members and then analoged to modulate binding affinity to any one (or more) of the supertype members to add population coverage.

The selection of analogs for immunogenicity in a cellular screening analysis is typically further restricted by the capacity of the parent wild type (WT) peptide to bind at least weakly, i.e., bind at an IC₅₀ of 500 nM or less, to three of more A2 supertype alleles. The rationale for this requirement is that the WT peptides must be present endogenously in sufficient quantity to be biologically relevant. Analoged peptides have been shown to have increased immunogenicity and cross-reactivity by T cells specific for the parent epitope (see, e.g., Parkhurst et al., J. Immunol. 157:2539, 1996; and Pogue et al., Proc. Natl. Acad. Sci. USA 92:8166, 1995).

In the cellular screening of these peptide analogs, it is important to confirm that analog-specific CTLs are also able to recognize the wild-type peptide and, when possible, target cells that endogenously express the epitope.

Analoging of HLA-A3 and B7-Supermotif-Bearing Peptides

Analogs of HLA-A3 supermotif-bearing epitopes are generated using strategies similar to those employed in analoging HLA-A2 supermotif-bearing peptides. For example, peptides binding to ⅗ of the A3-supertype molecules are engineered at primary anchor residues to possess a preferred residue (V, S, M, or A) at position 2.

The analog peptides are then tested for the ability to bind A*03 and A*11 (prototype A3 supertype alleles). Those peptides that demonstrate ≦500 nM binding capacity are then confirmed as having A3-supertype cross-reactivity.

Similarly to the A2- and A3-motif bearing peptides, peptides binding 3 or more B7-supertype alleles can be improved, where possible, to achieve increased cross-reactive binding or greater binding affinity or binding half life. B7 supermotif-bearing peptides are, for example, engineered to possess a preferred residue (V, I, L, or F) at the C-terminal primary anchor position, as demonstrated by Sidney et al. (J. Immunol. 157:3480-3490, 1996).

Analoging at primary anchor residues of other motif and/or supermotif-bearing epitopes is performed in a like manner.

The analog peptides are then be confirmed for immunogenicity, typically in a cellular screening assay. Again, it is generally important to demonstrate that analog-specific CTLs are also able to recognize the wild-type peptide and, when possible, targets that endogenously express the epitope.

Analoging at Secondary Anchor Residues

Moreover, HLA supermotifs are of value in engineering highly cross-reactive peptides and/or peptides that bind HLA molecules with increased affinity by identifying particular residues at secondary anchor positions that are associated with such properties. For example, the binding capacity of a B7 supermotif-bearing peptide with an F residue at position 1 is analyzed. The peptide is then analoged to, for example, substitute L for F at position 1. The analoged peptide is evaluated for increased binding affinity, binding half life and/or increased cross-reactivity. Such a procedure identifies analoged peptides with enhanced properties.

Engineered analogs with sufficiently improved binding capacity or cross-reactivity can also be tested for immunogenicity in HLA-B7-transgenic mice, following for example, IFA immunization or lipopeptide immunization. Analoged peptides are additionally tested for the ability to stimulate a recall response using PBMC from patients with 254P1D6B-expressing tumors.

Other Analoging Strategies

Another form of peptide analoging, unrelated to anchor positions, involves the substitution of a cysteine with α-amino butyric acid. Due to its chemical nature, cysteine has the propensity to form disulfide bridges and sufficiently alter the peptide structurally so as to reduce binding capacity. Substitution of α-amino butyric acid for cysteine not only alleviates this problem, but has been shown to improve binding and crossbinding capabilities in some instances (see, e.g., the review by Sette et al., In: Persistent Viral Infections, Eds. R. Ahmed and I. Chen, John Wiley & Sons, England, 1999).

Thus, by the use of single amino acid substitutions, the binding properties and/or cross-reactivity of peptide ligands for HLA supertype molecules can be modulated.

Example 16 Identification and Confirmation of 254P1D6B-Derived Sequences with HLA-DR Binding Motifs

Peptide epitopes bearing an HLA class II supermotif or motif are identified and confirmed as outlined below using methodology similar to that described for HLA Class I peptides.

Selection of HLA-DR-Supermotif-Bearing Epitopes.

To identify 254P1D6B-derived, HLA class II HTL epitopes, a 254P1D6B antigen is analyzed for the presence of sequences bearing an HLA-DR-motif or supermotif. Specifically, 15-mer sequences are selected comprising a DR-supermotif, comprising a 9-mer core, and three-residue N- and C-terminal flanking regions (15 amino acids total).

Protocols for predicting peptide binding to DR molecules have been developed (Southwood et al., J. Immunol. 160:3363-3373, 1998). These protocols, specific for individual DR molecules, allow the scoring, and ranking, of 9-mer core regions. Each protocol not only scores peptide sequences for the presence of DR-supermotif primary anchors (i.e., at position 1 and position 6) within a 9-mer core, but additionally evaluates sequences for the presence of secondary anchors. Using allele-specific selection tables (see, e.g., Southwood et al., ibid.), it has been found that these protocols efficiently select peptide sequences with a high probability of binding a particular DR molecule. Additionally, it has been found that performing these protocols in tandem, specifically those for DR1, DR4w4, and DR7, can efficiently select DR cross-reactive peptides.

The 254P1D6B-derived peptides identified above are tested for their binding capacity for various common HLA-DR molecules. All peptides are initially tested for binding to the DR molecules in the primary panel: DR1, DR4w4, and DR7. Peptides binding at least two of these three DR molecules are then tested for binding to DR2w2 β1, DR2w2 β2, DR6w19, and DR9 molecules in secondary assays. Finally, peptides binding at least two of the four secondary panel DR molecules, and thus cumulatively at least four of seven different DR molecules, are screened for binding to DR4w15, DR5w11, and DR8w2 molecules in tertiary assays. Peptides binding at least seven of the ten DR molecules comprising the primary, secondary, and tertiary screening assays are considered cross-reactive DR binders. 254P1D6B-derived peptides found to bind common HLA-DR alleles are of particular interest.

Selection of DR3 Motif Peptides

Because HLA-DR3 is an allele that is prevalent in Caucasian, Black, and Hispanic populations, DR3 binding capacity is a relevant criterion in the selection of HTL epitopes. Thus, peptides shown to be candidates may also be assayed for their DR3 binding capacity. However, in view of the binding specificity of the DR3 motif, peptides binding only to DR3 can also be considered as candidates for inclusion in a vaccine formulation.

To efficiently identify peptides that bind DR3, target 254P1D6B antigens are analyzed for sequences carrying one of the two DR3-specific binding motifs reported by Geluk et al. (J. Immunol. 152:5742-5748, 1994). The corresponding peptides are then synthesized and confirmed as having the ability to bind DR3 with an affinity of 1 μM or better, i.e., less than 1 μM. Peptides are found that meet this binding criterion and qualify as HLA class II high affinity binders.

DR3 binding epitopes identified in this manner are included in vaccine compositions with DR supermotif-bearing peptide epitopes.

Similarly to the case of HLA class I motif-bearing peptides, the class II motif-bearing peptides are analoged to improve affinity or cross-reactivity. For example, aspartic acid at position 4 of the 9-mer core sequence is an optimal residue for DR3 binding, and substitution for that residue often improves DR 3 binding.

Example 17 Immunogenicity of 254P1D6B-Derived HTL Epitopes

This example determines immunogenic DR supermotif- and DR3 motif-bearing epitopes among those identified using the methodology set forth herein.

Immunogenicity of HTL epitopes are confirmed in a manner analogous to the determination of immunogenicity of CTL epitopes, by assessing the ability to stimulate HTL responses and/or by using appropriate transgenic mouse models. Immunogenicity is determined by screening for: 1.) in vitro primary induction using normal PBMC or 2.) recall responses from patients who have 254P1D6B-expressing tumors.

Example 18 Calculation of Phenotypic Frequencies of HLA-Supertypes in Various Ethnic Backgrounds to Determine Breadth of Population Coverage

This example illustrates the assessment of the breadth of population coverage of a vaccine composition comprised of multiple epitopes comprising multiple supermotifs and/or motifs.

In order to analyze population coverage, gene frequencies of HLA alleles are determined. Gene frequencies for each HLA allele are calculated from antigen or allele frequencies utilizing the binomial distribution formulae gf=1-(SQRT(1-af)) (see, e.g., Sidney et al., Human Immunol. 45:79-93, 1996). To obtain overall phenotypic frequencies, cumulative gene frequencies are calculated, and the cumulative antigen frequencies derived by the use of the inverse formula [af=1-(1-Cgf)²].

Where frequency data is not available at the level of DNA typing, correspondence to the serologically defined antigen frequencies is assumed. To obtain total potential supertype population coverage no linkage disequilibrium is assumed, and only alleles confirmed to belong to each of the supertypes are included (minimal estimates). Estimates of total potential coverage achieved by inter-loci combinations are made by adding to the A coverage the proportion of the non-A covered population that could be expected to be covered by the B alleles considered (e.g., total=A+B*(1-A)). Confirmed members of the A3-like supertype are A3, A11, A31, A*3301, and A*6801. Although the A3-like supertype may also include A34, A66, and A*7401, these alleles were not included in overall frequency calculations. Likewise, confirmed members of the A2-like supertype family are A*0201, A*0202, A*0203, A*0204, A*0205, A*0206, A*0207, A*6802, and A*6901. Finally, the B7-like supertype-confirmed alleles are: B7, B*3501-03, B51, B*5301, B*5401, B*5501-2, B*5601, B*6701, and B*7801 (potentially also B*1401, B*3504-06, B*4201, and B*5602).

Population coverage achieved by combining the A2-, A3- and B7-supertypes is approximately 86% in five major ethnic groups. Coverage may be extended by including peptides bearing the A1 and A24 motifs. On average, A1 is present in 12% and A24 in 29% of the population across five different major ethnic groups (Caucasian, North American Black, Chinese, Japanese, and Hispanic). Together, these alleles are represented with an average frequency of 39% in these same ethnic populations. The total coverage across the major ethnicities when A1 and A24 are combined with the coverage of the A2-, A3- and B7-supertype alleles is >95%, see, e.g., Table IV (G). An analogous approach can be used to estimate population coverage achieved with combinations of class II motif-bearing epitopes.

Immunogenicity studies in humans (e.g., Bertoni et al., J. Clin. Invest. 100:503, 1997; Doolan et al., Immunity 7:97, 1997; and Threlkeld et al., J. Immunol. 159:1648, 1997) have shown that highly cross-reactive binding peptides are almost always recognized as epitopes. The use of highly cross-reactive binding peptides is an important selection criterion in identifying candidate epitopes for inclusion in a vaccine that is immunogenic in a diverse population.

With a sufficient number of epitopes (as disclosed herein and from the art), an average population coverage is predicted to be greater than 95% in each of five major ethnic populations. The game theory Monte Carlo simulation analysis, which is known in the art (see e.g., Osborne, M. J. and Rubinstein, A. “A course in game theory” MIT Press, 1994), can be used to estimate what percentage of the individuals in a population comprised of the Caucasian, North American Black, Japanese, Chinese, and Hispanic ethnic groups would recognize the vaccine epitopes described herein. A preferred percentage is 90%. A more preferred percentage is 95%.

Example 19 CTL Recognition of Endogenously Processed Antigens after Priming

This example confirms that CTL induced by native or analoged peptide epitopes identified and selected as described herein recognize endogenously synthesized, i.e., native antigens.

Effector cells isolated from transgenic mice that are immunized with peptide epitopes, for example HLA-A2 supermotif-bearing epitopes, are re-stimulated in vitro using peptide-coated stimulator cells. Six days later, effector cells are assayed for cytotoxicity and the cell lines that contain peptide-specific cytotoxic activity are further re-stimulated. An additional six days later, these cell lines are tested for cytotoxic activity on ⁵¹Cr labeled Jurkat-A2.1/K^(b) target cells in the absence or presence of peptide, and also tested on ⁵¹Cr labeled target cells bearing the endogenously synthesized antigen, i.e. cells that are stably transfected with 254P1D6B expression vectors.

The results demonstrate that CTL lines obtained from animals primed with peptide epitope recognize endogenously synthesized 254P1D6B antigen. The choice of transgenic mouse model to be used for such an analysis depends upon the epitope(s) that are being evaluated. In addition to HLA-A*0201/Kb transgenic mice, several other transgenic mouse models including mice with human A11, which may also be used to evaluate A3 epitopes, and B7 alleles have been characterized and others (e.g., transgenic mice for HLA-A1 and A24) are being developed. HLA-DR1 and HLA-DR3 mouse models have also been developed, which may be used to evaluate HTL epitopes.

Example 20 Activity of CTL-HTL Conjugated Epitopes in Transgenic Mice

This example illustrates the induction of CTLs and HTLs in transgenic mice, by use of a 254P1D6B-derived CTL and HTL peptide vaccine compositions. The vaccine composition used herein comprise peptides to be administered to a patient with a 254P1D6B-expressing tumor. The peptide composition can comprise multiple CTL and/or HTL epitopes. The epitopes are identified using methodology as described herein. This example also illustrates that enhanced immunogenicity can be achieved by inclusion of one or more HTL epitopes in a CTL vaccine composition; such a peptide composition can comprise an HTL epitope conjugated to a CTL epitope. The CTL epitope can be one that binds to multiple HLA family members at an affinity of 500 nM or less, or analogs of that epitope. The peptides may be lipidated, if desired.

Immunization Procedures:

Immunization of transgenic mice is performed as described (Alexander et al., J. Immunol. 159:4753-4761, 1997). For example, A2/Kb mice, which are transgenic for the human HLA A2.1 allele and are used to confirm the immunogenicity of HLA-A*0201 motif- or HLA-A2 supermotif-bearing epitopes, and are primed subcutaneously (base of the tail) with a 0.1 ml of peptide in Incomplete Freund's Adjuvant, or if the peptide composition is a lipidated CTL/HTL conjugate, in DMSO/saline, or if the peptide composition is a polypeptide, in PBS or Incomplete Freund's Adjuvant. Seven days after priming, splenocytes obtained from these animals are restimulated with syngeneic irradiated LPS-activated lymphoblasts coated with peptide.

Cell Lines:

Target cells for peptide-specific cytotoxicity assays are Jurkat cells transfected with the HLA-A2.1/K^(b) chimeric gene (e.g., Vitiello et al., J. Exp. Med. 173:1007, 1991)

In Vitro CTL Activation:

One week after priming, spleen cells (30×10⁶ cells/flask) are co-cultured at 37° C. with syngeneic, irradiated (3000 rads), peptide coated lymphoblasts (1×10⁶ cells/flask) in 10 ml of culture medium/T25 flask. After six days, effector cells are harvested and assayed for cytotoxic activity.

Assay for Cytotoxic Activity:

Target cells (1.0 to 1.5×10⁶) are incubated at 37° C. in the presence of 200 μl of ⁵¹Cr. After 60 minutes, cells are washed three times and resuspended in R10 medium. Peptide is added where required at a concentration of 1 μg/ml. For the assay, 10⁴ ⁵¹Cr-labeled target cells are added to different concentrations of effector cells (final volume of 200 μl) in U-bottom 96-well plates. After a six hour incubation period at 37° C., a 0.1 ml aliquot of supernatant is removed from each well and radioactivity is determined in a Micromedic automatic gamma counter. The percent specific lysis is determined by the formula: percent specific release=100× (experimental release−spontaneous release)/(maximum release−spontaneous release). To facilitate comparison between separate CTL assays run under the same conditions, % ⁵¹Cr release data is expressed as lytic units/10⁶ cells. One lytic unit is arbitrarily defined as the number of effector cells required to achieve 30% lysis of 10,000 target cells in a six hour ⁵¹Cr release assay. To obtain specific lytic units/106, the lytic units/10⁶ obtained in the absence of peptide is subtracted from the lytic units/106 obtained in the presence of peptide. For example, if 30% ⁵¹Cr release is obtained at the effector (E): target (T) ratio of 50:1 (i.e., 5×10⁵ effector cells for 10,000 targets) in the absence of peptide and 5:1 (i.e., 5×10⁴ effector cells for 10,000 targets) in the presence of peptide, the specific lytic units would be: [( 1/50,000)-( 1/500,000)]×10⁶⁼¹⁸ LU.

The results are analyzed to assess the magnitude of the CTL responses of animals injected with the immunogenic CTL/HTL conjugate vaccine preparation and are compared to the magnitude of the CTL response achieved using, for example, CTL epitopes as outlined above in the Example entitled “Confirmation of Immunogenicity.” Analyses similar to this may be performed to confirm the immunogenicity of peptide conjugates containing multiple CTL epitopes and/or multiple HTL epitopes. In accordance with these procedures, it is found that a CTL response is induced, and concomitantly that an HTL response is induced upon administration of such compositions.

Example 21 Selection of CTL and HTL epitopes for inclusion in a 254P1D6B-Specific Vaccine

This example illustrates a procedure for selecting peptide epitopes for vaccine compositions of the invention. The peptides in the composition can be in the form of a nucleic acid sequence, either single or one or more sequences (i.e., minigene) that encodes peptide(s), or can be single and/or polyepitopic peptides.

The following principles are utilized when selecting a plurality of epitopes for inclusion in a vaccine composition. Each of the following principles is balanced in order to make the selection.

Epitopes are selected which, upon administration, mimic immune responses that are correlated with 254P1D6B clearance. The number of epitopes used depends on observations of patients who spontaneously clear 254P1D6B. For example, if it has been observed that patients who spontaneously clear 254P1D6B-expressing cells generate an immune response to at least three (3) epitopes from 254P1D6B antigen, then at least three epitopes should be included for HLA class I. A similar rationale is used to determine HLA class II epitopes.

Epitopes are often selected that have a binding affinity of an IC₅₀ of 500 nM or less for an HLA class I molecule, or for class II, an IC₅₀ of 1000 nM or less; or HLA Class I peptides with high binding scores from the BIMAS web site, at URL bimas.dcrt.nih.gov/.

In order to achieve broad coverage of the vaccine through out a diverse population, sufficient supermotif bearing peptides, or a sufficient array of allele-specific motif bearing peptides, are selected to give broad population coverage. In one embodiment, epitopes are selected to provide at least 80% population coverage. A Monte Carlo analysis, a statistical evaluation known in the art, can be employed to assess breadth, or redundancy, of population coverage.

When creating polyepitopic compositions, or a minigene that encodes same, it is typically desirable to generate the smallest peptide possible that encompasses the epitopes of interest. The principles employed are similar, if not the same, as those employed when selecting a peptide comprising nested epitopes. For example, a protein sequence for the vaccine composition is selected because it has maximal number of epitopes contained within the sequence, i.e., it has a high concentration of epitopes. Epitopes may be nested or overlapping (i.e., frame shifted relative to one another). For example, with overlapping epitopes, two 9-mer epitopes and one 10-mer epitope can be present in a 10 amino acid peptide. Each epitope can be exposed and bound by an HLA molecule upon administration of such a peptide. A multi-epitopic, peptide can be generated synthetically, recombinantly, or via cleavage from the native source. Alternatively, an analog can be made of this native sequence, whereby one or more of the epitopes comprise substitutions that alter the cross-reactivity and/or binding affinity properties of the polyepitopic peptide. Such a vaccine composition is administered for therapeutic or prophylactic purposes. This embodiment provides for the possibility that an as yet undiscovered aspect of immune system processing will apply to the native nested sequence and thereby facilitate the production of therapeutic or prophylactic immune response-inducing vaccine compositions. Additionally such an embodiment provides for the possibility of motif-bearing epitopes for an HLA makeup that is presently unknown. Furthermore, this embodiment (absent the creating of any analogs) directs the immune response to multiple peptide sequences that are actually present in 254P1D6B, thus avoiding the need to evaluate any junctional epitopes. Lastly, the embodiment provides an economy of scale when producing nucleic acid vaccine compositions. Related to this embodiment, computer programs can be derived in accordance with principles in the art, which identify in a target sequence, the greatest number of epitopes per sequence length.

A vaccine composition comprised of selected peptides, when administered, is safe, efficacious, and elicits an immune response similar in magnitude to an immune response that controls or clears cells that bear or overexpress 254P1D6B.

Example 22 Construction of “Minigene” Multi-Epitope DNA Plasmids

This example discusses the construction of a minigene expression plasmid. Minigene plasmids may, of course, contain various configurations of B cell, CTL and/or HTL epitopes or epitope analogs as described herein.

A minigene expression plasmid typically includes multiple CTL and HTL peptide epitopes. In the present example, HLA-A2, -A3, -B7 supermotif-bearing peptide epitopes and HLA-A1 and -A24 motif-bearing peptide epitopes are used in conjunction with DR supermotif-bearing epitopes and/or DR3 epitopes. HLA class I supermotif or motif-bearing peptide epitopes derived 254P1D6B, are selected such that multiple supermotifs/motifs are represented to ensure broad population coverage. Similarly, HLA class II epitopes are selected from 254P1D6B to provide broad population coverage, i.e. both HLA DR-1-4-7 supermotif-bearing epitopes and HLA DR-3 motif-bearing epitopes are selected for inclusion in the minigene construct. The selected CTL and HTL epitopes are then incorporated into a minigene for expression in an expression vector.

Such a construct may additionally include sequences that direct the HTL epitopes to the endoplasmic reticulum. For example, the Ii protein may be fused to one or more HTL epitopes as described in the art, wherein the CLIP sequence of the Ii protein is removed and replaced with an HLA class II epitope sequence so that HLA class II epitope is directed to the endoplasmic reticulum, where the epitope binds to an HLA class II molecules.

This example illustrates the methods to be used for construction of a minigene-bearing expression plasmid. Other expression vectors that may be used for minigene compositions are available and known to those of skill in the art.

The minigene DNA plasmid of this example contains a consensus Kozak sequence and a consensus murine kappa Ig-light chain signal sequence followed by CTL and/or HTL epitopes selected in accordance with principles disclosed herein. The sequence encodes an open reading frame fused to the Myc and His antibody epitope tag coded for by the pcDNA 3.1 Myc-His vector.

Overlapping oligonucleotides that can, for example, average about 70 nucleotides in length with 15 nucleotide overlaps, are synthesized and HPLC-purified. The oligonucleotides encode the selected peptide epitopes as well as appropriate linker nucleotides, Kozak sequence, and signal sequence. The final multiepitope minigene is assembled by extending the overlapping oligonucleotides in three sets of reactions using PCR. A Perkin/Elmer 9600 PCR machine is used and a total of 30 cycles are performed using the following conditions: 95° C. for 15 sec, annealing temperature (5° below the lowest calculated Tm of each primer pair) for 30 sec, and 72° C. for 1 min.

For example, a minigene is prepared as follows. For a first PCR reaction, 5 μg of each of two oligonucleotides are annealed and extended: In an example using eight oligonucleotides, i.e., four pairs of primers, oligonucleotides 1+2, 3+4, 5+6, and 7+8 are combined in 100 μl reactions containing Pfu polymerase buffer (1×=10 mM KCL, 10 mM (NH4)₂SO₄, 20 mM Tris-chloride, pH 8.75, 2 mM MgSO₄, 0.1% Triton X-100, 100 μg/ml BSA), 0.25 mM each dNTP, and 2.5 U of Pfu polymerase. The full-length dimer products are gel-purified, and two reactions containing the product of 1+2 and 3+4, and the product of 5+6 and 7+8 are mixed, annealed, and extended for 10 cycles. Half of the two reactions are then mixed, and 5 cycles of annealing and extension carried out before flanking primers are added to amplify the full length product. The full-length product is gel-purified and cloned into pCR-blunt (Invitrogen) and individual clones are screened by sequencing.

Example 23 The Plasmid Construct and the Degree to which it Induces Immunogenicity

The degree to which a plasmid construct, for example a plasmid constructed in accordance with the previous Example, is able to induce immunogenicity is confirmed in vitro by determining epitope presentation by APC following transduction or transfection of the APC with an epitope-expressing nucleic acid construct. Such a study determines “antigenicity” and allows the use of human APC. The assay determines the ability of the epitope to be presented by the APC in a context that is recognized by a T cell by quantifying the density of epitope-HLA class I complexes on the cell surface. Quantitation can be performed by directly measuring the amount of peptide eluted from the APC (see, e.g., Sijts et al., J. Immunol. 156:683-692, 1996; Demotz et al., Nature 342:682-684, 1989); or the number of peptide-HLA class I complexes can be estimated by measuring the amount of lysis or lymphokine release induced by diseased or transfected target cells, and then determining the concentration of peptide necessary to obtain equivalent levels of lysis or lymphokine release (see, e.g., Kageyama et al., J. Immunol. 154:567-576, 1995).

Alternatively, immunogenicity is confirmed through in vivo injections into mice and subsequent in vitro assessment of CTL and HTL activity, which are analyzed using cytotoxicity and proliferation assays, respectively, as detailed e.g., in Alexander et al., Immunity 1:751-761, 1994.

For example, to confirm the capacity of a DNA minigene construct containing at least one HLA-A2 supermotif peptide to induce CTLs in vivo, HLA-A2.1/K transgenic mice, for example, are immunized intramuscularly with 100 μg of naked cDNA. As a means of comparing the level of CTLs induced by cDNA immunization, a control group of animals is also immunized with an actual peptide composition that comprises multiple epitopes synthesized as a single polypeptide as they would be encoded by the minigene.

Splenocytes from immunized animals are stimulated twice with each of the respective compositions (peptide epitopes encoded in the minigene or the polyepitopic peptide), then assayed for peptide-specific cytotoxic activity in a ⁵¹Cr release assay. The results indicate the magnitude of the CTL response directed against the A2-restricted epitope, thus indicating the in vivo immunogenicity of the minigene vaccine and polyepitopic vaccine.

It is, therefore, found that the minigene elicits immune responses directed toward the HLA-A2 supermotif peptide epitopes as does the polyepitopic peptide vaccine. A similar analysis is also performed using other HLA-A3 and HLA-B7 transgenic mouse models to assess CTL induction by HLA-A3 and HLA-B7 motif or supermotif epitopes, whereby it is also found that the minigene elicits appropriate immune responses directed toward the provided epitopes.

To confirm the capacity of a class II epitope-encoding minigene to induce HTLs in vivo, DR transgenic mice, or for those epitopes that cross react with the appropriate mouse MHC molecule, I-A^(b)-restricted mice, for example, are immunized intramuscularly with 100 μg of plasmid DNA. As a means of comparing the level of HTLs induced by DNA immunization, a group of control animals is also immunized with an actual peptide composition emulsified in complete Freund's adjuvant. CD4+ T cells, i.e. HTLs, are purified from splenocytes of immunized animals and stimulated with each of the respective compositions (peptides encoded in the minigene). The HTL response is measured using a ³H-thymidine incorporation proliferation assay, (see, e.g., Alexander et al. Immunity 1:751-761, 1994). The results indicate the magnitude of the HTL response, thus demonstrating the in vivo immunogenicity of the minigene.

DNA minigenes, constructed as described in the previous Example, can also be confirmed as a vaccine in combination with a boosting agent using a prime boost protocol. The boosting agent can consist of recombinant protein (e.g., Barnett et al., Aids Res. and Human Retroviruses 14, Supplement 3:S299-S309, 1998) or recombinant vaccinia, for example, expressing a minigene or DNA encoding the complete protein of interest (see, e.g., Hanke et al., Vaccine 16:439-445, 1998; Sedegah et al., Proc. Natl. Acad. Sci. USA 95:7648-53, 1998; Hanke and McMichael, Immunol. Letters 66:177-181, 1999; and Robinson et al., Nature Med. 5:526-34, 1999).

For example, the efficacy of the DNA minigene used in a prime boost protocol is initially evaluated in transgenic mice. In this example, A2.1/K^(b) transgenic mice are immunized IM with 100 μg of a DNA minigene encoding the immunogenic peptides including at least one HLA-A2 supermotif-bearing peptide. After an incubation period (ranging from 3-9 weeks), the mice are boosted IP with 10⁷ pfu/mouse of a recombinant vaccinia virus expressing the same sequence encoded by the DNA minigene. Control mice are immunized with 100 μg of DNA or recombinant vaccinia without the minigene sequence, or with DNA encoding the minigene, but without the vaccinia boost. After an additional incubation period of two weeks, splenocytes from the mice are immediately assayed for peptide-specific activity in an ELISPOT assay. Additionally, splenocytes are stimulated in vitro with the A2-restricted peptide epitopes encoded in the minigene and recombinant vaccinia, then assayed for peptide-specific activity in an alpha, beta and/or gamma IFN ELISA.

It is found that the minigene utilized in a prime-boost protocol elicits greater immune responses toward the HLA-A2 supermotif peptides than with DNA alone. Such an analysis can also be performed using HLA-A11 or HLA-B7 transgenic mouse models to assess CTL induction by HLA-A3 or HLA-B7 motif or supermotif epitopes. The use of prime boost protocols in humans is described below in the Example entitled “Induction of CTL Responses Using a Prime Boost Protocol.”

Example 24 Peptide Compositions for Prophylactic Uses

Vaccine compositions of the present invention can be used to prevent 254P1D6B expression in persons who are at risk for tumors that bear this antigen. For example, a polyepitopic peptide epitope composition (or a nucleic acid comprising the same) containing multiple CTL and HTL epitopes such as those selected in the above Examples, which are also selected to target greater than 80% of the population, is administered to individuals at risk for a 254P1D6B-associated tumor.

For example, a peptide-based composition is provided as a single polypeptide that encompasses multiple epitopes. The vaccine is typically administered in a physiological solution that comprises an adjuvant, such as Incomplete Freunds Adjuvant. The dose of peptide for the initial immunization is from about 1 to about 50,000 μg, generally 100-5,000 μg, for a 70 kg patient. The initial administration of vaccine is followed by booster dosages at 4 weeks followed by evaluation of the magnitude of the immune response in the patient, by techniques that determine the presence of epitope-specific CTL populations in a PBMC sample. Additional booster doses are administered as required. The composition is found to be both safe and efficacious as a prophylaxis against 254P1D6B-associated disease.

Alternatively, a composition typically comprising transfecting agents is used for the administration of a nucleic acid-based vaccine in accordance with methodologies known in the art and disclosed herein.

Example 25 Polyepitopic Vaccine Compositions Derived from Native 254P1D6B Sequences

A native 254P1D6B polyprotein sequence is analyzed, preferably using computer algorithms defined for each class I and/or class II supermotif or motif, to identify “relatively short” regions of the polyprotein that comprise multiple epitopes. The “relatively short” regions are preferably less in length than an entire native antigen. This relatively short sequence that contains multiple distinct or overlapping, “nested” epitopes can be used to generate a minigene construct. The construct is engineered to express the peptide, which corresponds to the native protein sequence. The “relatively short” peptide is generally less than 250 amino acids in length, often less than 100 amino acids in length, preferably less than 75 amino acids in length, and more preferably less than 50 amino acids in length. The protein sequence of the vaccine composition is selected because it has maximal number of epitopes contained within the sequence, i.e., it has a high concentration of epitopes. As noted herein, epitope motifs may be nested or overlapping (i.e., frame shifted relative to one another). For example, with overlapping epitopes, two 9-mer epitopes and one 10-mer epitope can be present in a 10 amino acid peptide. Such a vaccine composition is administered for therapeutic or prophylactic purposes.

The vaccine composition will include, for example, multiple CTL epitopes from 254P1D6B antigen and at least one HTL epitope. This polyepitopic native sequence is administered either as a peptide or as a nucleic acid sequence which encodes the peptide. Alternatively, an analog can be made of this native sequence, whereby one or more of the epitopes comprise substitutions that alter the cross-reactivity and/or binding affinity properties of the polyepitopic peptide.

The embodiment of this example provides for the possibility that an as yet undiscovered aspect of immune system processing will apply to the native nested sequence and thereby facilitate the production of therapeutic or prophylactic immune response-inducing vaccine compositions. Additionally, such an embodiment provides for the possibility of motif-bearing epitopes for an HLA makeup(s) that is presently unknown. Furthermore, this embodiment (excluding an analoged embodiment) directs the immune response to multiple peptide sequences that are actually present in native 254P1D6B, thus avoiding the need to evaluate any junctional epitopes. Lastly, the embodiment provides an economy of scale when producing peptide or nucleic acid vaccine compositions.

Related to this embodiment, computer programs are available in the art which can be used to identify in a target sequence, the greatest number of epitopes per sequence length.

Example 26 Polyepitopic Vaccine Compositions from Multiple Antigens

The 254P1D6B peptide epitopes of the present invention are used in conjunction with epitopes from other target tumor-associated antigens, to create a vaccine composition that is useful for the prevention or treatment of cancer that expresses 254P1D6B and such other antigens. For example, a vaccine composition can be provided as a single polypeptide that incorporates multiple epitopes from 254P1D6B as well as tumor-associated antigens that are often expressed with a target cancer associated with 254P1D6B expression, or can be administered as a composition comprising a cocktail of one or more discrete epitopes. Alternatively, the vaccine can be administered as a minigene construct or as dendritic cells which have been loaded with the peptide epitopes in vitro.

Example 27 Use of Peptides to Evaluate an Immune Response

Peptides of the invention may be used to analyze an immune response for the presence of specific antibodies, CTL or HTL directed to 254P1D6B. Such an analysis can be performed in a manner described by Ogg et al., Science 279:2103-2106, 1998. In this Example, peptides in accordance with the invention are used as a reagent for diagnostic or prognostic purposes, not as an immunogen.

In this example highly sensitive human leukocyte antigen tetrameric complexes (“tetramers”) are used for a cross-sectional analysis of, for example, 254P1D6B HLA-A*0201-specific CTL frequencies from HLA A*0201-positive individuals at different stages of disease or following immunization comprising a 254P1D6B peptide containing an A*0201 motif. Tetrameric complexes are synthesized as described (Musey et al., N. Engl. J. Med. 337:1267, 1997). Briefly, purified HLA heavy chain (A*0201 in this example) and β2-microglobulin are synthesized by means of a prokaryotic expression system. The heavy chain is modified by deletion of the transmembrane-cytosolic tail and COOH-terminal addition of a sequence containing a BirA enzymatic biotinylation site. The heavy chain, β2-microglobulin, and peptide are refolded by dilution. The 45-kD refolded product is isolated by fast protein liquid chromatography and then biotinylated by BirA in the presence of biotin (Sigma, St. Louis, Mo.), adenosine 5′ triphosphate and magnesium. Streptavidin-phycoerythrin conjugate is added in a 1:4 molar ratio, and the tetrameric product is concentrated to 1 mg/ml. The resulting product is referred to as tetramer-phycoerythrin.

For the analysis of patient blood samples, approximately one million PBMCs are centrifuged at 300 g for 5 minutes and resuspended in 50 μl of cold phosphate-buffered saline. Tri-color analysis is performed with the tetramer-phycoerythrin, along with anti-CD8-Tricolor, and anti-CD38. The PBMCs are incubated with tetramer and antibodies on ice for 30 to 60 min and then washed twice before formaldehyde fixation. Gates are applied to contain >99.98% of control samples. Controls for the tetramers include both A*0201-negative individuals and A*0201-positive non-diseased donors. The percentage of cells stained with the tetramer is then determined by flow cytometry. The results indicate the number of cells in the PBMC sample that contain epitope-restricted CTLs, thereby readily indicating the extent of immune response to the 254P1D6B epitope, and thus the status of exposure to 254P1D6B, or exposure to a vaccine that elicits a protective or therapeutic response.

Example 28 Use of Peptide Epitopes to Evaluate Recall Responses

The peptide epitopes of the invention are used as reagents to evaluate T cell responses, such as acute or recall responses, in patients. Such an analysis may be performed on patients who have recovered from 254P1D6B-associated disease or who have been vaccinated with a 254P1D6B vaccine.

For example, the class I restricted CTL response of persons who have been vaccinated may be analyzed. The vaccine may be any 254P1D6B vaccine. PBMC are collected from vaccinated individuals and HLA typed. Appropriate peptide epitopes of the invention that, optimally, bear supermotifs to provide cross-reactivity with multiple HLA supertype family members, are then used for analysis of samples derived from individuals who bear that HLA type.

PBMC from vaccinated individuals are separated on Ficoll-Histopaque density gradients (Sigma Chemical Co., St. Louis, Mo.), washed three times in HBSS (GIBCO Laboratories), resuspended in RPMI-1640 (GIBCO Laboratories) supplemented with L-glutamine (2 mM), penicillin (50 U/ml), streptomycin (50 μg/ml), and Hepes (10 mM) containing 10% heat-inactivated human AB serum (complete RPMI) and plated using microculture formats. A synthetic peptide comprising an epitope of the invention is added at 10 μg/ml to each well and HBV core 128-140 epitope is added at 1 μg/ml to each well as a source of T cell help during the first week of stimulation.

In the microculture format, 4×10⁵ PBMC are stimulated with peptide in 8 replicate cultures in 96-well round bottom plate in 100 μl/well of complete RPMI. On days 3 and 10, 100 μl of complete RPMI and 20 U/ml final concentration of rIL-2 are added to each well. On day 7 the cultures are transferred into a 96-well flat-bottom plate and restimulated with peptide, rIL-2 and 105 irradiated (3,000 rad) autologous feeder cells. The cultures are tested for cytotoxic activity on day 14. A positive CTL response requires two or more of the eight replicate cultures to display greater than 10% specific ⁵¹Cr release, based on comparison with non-diseased control subjects as previously described (Rehermann, et al., Nature Med. 2:1104,1108, 1996; Rehermann et al., J. Clin. Invest. 97:1655-1665, 1996; and Rehermann et al. J. Clin. Invest. 98:1432-1440, 1996).

Target cell lines are autologous and allogeneic EBV-transformed B-LCL that are either purchased from the American Society for Histocompatibility and Immunogenetics (ASHI, Boston, Mass.) or established from the pool of patients as described (Guilhot, et al. J. Virol. 66:2670-2678, 1992).

Cytotoxicity assays are performed in the following manner. Target cells consist of either allogeneic HLA-matched or autologous EBV-transformed B lymphoblastoid cell line that are incubated overnight with the synthetic peptide epitope of the invention at 10 μM, and labeled with 100 μCi of ⁵¹Cr (Amersham Corp., Arlington Heights, Ill.) for 1 hour after which they are washed four times with HBSS.

Cytolytic activity is determined in a standard 4-h, split well ⁵¹Cr release assay using U-bottomed 96 well plates containing 3,000 targets/well. Stimulated PBMC are tested at effector/target (E/T) ratios of 20-50:1 on day 14. Percent cytotoxicity is determined from the formula: 100×[(experimental release-spontaneous release)/maximum release-spontaneous release)]. Maximum release is determined by lysis of targets by detergent (2% Triton X-100; Sigma Chemical Co., St. Louis, Mo.). Spontaneous release is <25% of maximum release for all experiments.

The results of such an analysis indicate the extent to which HLA-restricted CTL populations have been stimulated by previous exposure to 254P1D6B or a 254P1D6B vaccine.

Similarly, Class II restricted HTL responses may also be analyzed. Purified PBMC are cultured in a 96-well flat bottom plate at a density of 1.5×10⁵ cells/well and are stimulated with 10 μg/ml synthetic peptide of the invention, whole 254P1D6B antigen, or PHA. Cells are routinely plated in replicates of 4-6 wells for each condition. After seven days of culture, the medium is removed and replaced with fresh medium containing 10 U/ml IL-2. Two days later, 1 μCi ³H-thymidine is added to each well and incubation is continued for an additional 18 hours. Cellular DNA is then harvested on glass fiber mats and analyzed for ³H-thymidine incorporation. Antigen-specific T cell proliferation is calculated as the ratio of ³H-thymidine incorporation in the presence of antigen divided by the ³H-thymidine incorporation in the absence of antigen.

Example 29 Induction of Specific CTL Response in Humans

A human clinical trial for an immunogenic composition comprising CTL and HTL epitopes of the invention is set up as an IND Phase I, dose escalation study and carried out as a randomized, double-blind, placebo-controlled trial. Such a trial is designed, for example, as follows:

A total of about 27 individuals are enrolled and divided into 3 groups:

Group I: 3 subjects are injected with placebo and 6 subjects are injected with 5 μg of peptide composition;

Group II: 3 subjects are injected with placebo and 6 subjects are injected with 50 μg peptide composition;

Group III: 3 subjects are injected with placebo and 6 subjects are injected with 500 μg of peptide composition.

After 4 weeks following the first injection, all subjects receive a booster inoculation at the same dosage.

The endpoints measured in this study relate to the safety and tolerability of the peptide composition as well as its immunogenicity. Cellular immune responses to the peptide composition are an index of the intrinsic activity of this the peptide composition, and can therefore be viewed as a measure of biological efficacy. The following summarize the clinical and laboratory data that relate to safety and efficacy endpoints.

Safety: The incidence of adverse events is monitored in the placebo and drug treatment group and assessed in terms of degree and reversibility.

Evaluation of Vaccine Efficacy: For evaluation of vaccine efficacy, subjects are bled before and after injection. Peripheral blood mononuclear cells are isolated from fresh heparinized blood by Ficoll-Hypaque density gradient centrifugation, aliquoted in freezing media and stored frozen. Samples are assayed for CTL and HTL activity.

The vaccine is found to be both safe and efficacious.

Example 30 Phase II Trials in Patients Expressing 254P1D6B

Phase II trials are performed to study the effect of administering the CTL-HTL peptide compositions to patients having cancer that expresses 254P1D6B. The main objectives of the trial are to determine an effective dose and regimen for inducing CTLs in cancer patients that express 254P1D6B, to establish the safety of inducing a CTL and HTL response in these patients, and to see to what extent activation of CTLs improves the clinical picture of these patients, as manifested, e.g., by the reduction and/or shrinking of lesions. Such a study is designed, for example, as follows:

The studies are performed in multiple centers. The trial design is an open-label, uncontrolled, dose escalation protocol wherein the peptide composition is administered as a single dose followed six weeks later by a single booster shot of the same dose. The dosages are 50, 500 and 5,000 micrograms per injection. Drug-associated adverse effects (severity and reversibility) are recorded.

There are three patient groupings. The first group is injected with 50 micrograms of the peptide composition and the second and third groups with 500 and 5,000 micrograms of peptide composition, respectively. The patients within each group range in age from 21-65 and represent diverse ethnic backgrounds. All of them have a tumor that expresses 254P1D6B.

Clinical manifestations or antigen-specific T-cell responses are monitored to assess the effects of administering the peptide compositions. The vaccine composition is found to be both safe and efficacious in the treatment of 254P1D6B-associated disease.

Example 31 Induction of CTL Responses Using a Prime Boost Protocol

A prime boost protocol similar in its underlying principle to that used to confirm the efficacy of a DNA vaccine in transgenic mice, such as described above in the Example entitled “The Plasmid Construct and the Degree to Which It Induces Immunogenicity,” can also be used for the administration of the vaccine to humans. Such a vaccine regimen can include an initial administration of, for example, naked DNA followed by a boost using recombinant virus encoding the vaccine, or recombinant protein/polypeptide or a peptide mixture administered in an adjuvant.

For example, the initial immunization may be performed using an expression vector, such as that constructed in the Example entitled “Construction of “Minigene” Multi-Epitope DNA Plasmids” in the form of naked nucleic acid administered IM (or SC or ID) in the amounts of 0.5-5 mg at multiple sites. The nucleic acid (0.1 to 1000 μg) can also be administered using a gene gun. Following an incubation period of 3-4 weeks, a booster dose is then administered. The booster can be recombinant fowlpox virus administered at a dose of 5-10⁷ to 5×10⁹ pfu. An alternative recombinant virus, such as an MVA, canarypox, adenovirus, or adeno-associated virus, can also be used for the booster, or the polyepitopic protein or a mixture of the peptides can be administered. For evaluation of vaccine efficacy, patient blood samples are obtained before immunization as well as at intervals following administration of the initial vaccine and booster doses of the vaccine. Peripheral blood mononuclear cells are isolated from fresh heparinized blood by Ficoll-Hypaque density gradient centrifugation, aliquoted in freezing media and stored frozen. Samples are assayed for CTL and HTL activity.

Analysis of the results indicates that a magnitude of response sufficient to achieve a therapeutic or protective immunity against 254P1D6B is generated.

Example 32 Administration of Vaccine Compositions Using Dendritic Cells (DC)

Vaccines comprising peptide epitopes of the invention can be administered using APCs, or “professional” APCs such as DC. In this example, peptide-pulsed DC are administered to a patient to stimulate a CTL response in vivo. In this method, dendritic cells are isolated, expanded, and pulsed with a vaccine comprising peptide CTL and HTL epitopes of the invention. The dendritic cells are infused back into the patient to elicit CTL and HTL responses in vivo. The induced CTL and HTL then destroy or facilitate destruction, respectively, of the target cells that bear the 254P1D6B protein from which the epitopes in the vaccine are derived.

For example, a cocktail of epitope-comprising peptides is administered ex vivo to PBMC, or isolated DC therefrom. A pharmaceutical to facilitate harvesting of DC can be used, such as Progenipoietin™ (Monsanto, St. Louis, Mo.) or GM-CSF/IL-4. After pulsing the DC with peptides, and prior to reinfusion into patients, the DC are washed to remove unbound peptides.

As appreciated clinically, and readily determined by one of skill based on clinical outcomes, the number of DC reinfused into the patient can vary (see, e.g., Nature Med. 4:328, 1998; Nature Med. 2:52, 1996 and Prostate 32:272, 1997). Although 2−50×10⁶ DC per patient are typically administered, larger number of DC, such as 107 or 108 can also be provided. Such cell populations typically contain between 50-90% DC.

In some embodiments, peptide-loaded PBMC are injected into patients without purification of the DC. For example, PBMC generated after treatment with an agent such as Progenipoietin™ are injected into patients without purification of the DC. The total number of PBMC that are administered often ranges from 108 to 1010. Generally, the cell doses injected into patients is based on the percentage of DC in the blood of each patient, as determined, for example, by immunofluorescence analysis with specific anti-DC antibodies. Thus, for example, if Progenipoietin™ mobilizes 2% DC in the peripheral blood of a given patient, and that patient is to receive 5×10⁶ DC, then the patient will be injected with a total of 2.5×10⁸ peptide-loaded PBMC. The percent DC mobilized by an agent such as Progenipoietin™ is typically estimated to be between 2-10%, but can vary as appreciated by one of skill in the art.

Ex Vivo Activation of CTL/HTL Responses

Alternatively, ex vivo CTL or HTL responses to 254P1D6B antigens can be induced by incubating, in tissue culture, the patient's, or genetically compatible, CTL or HTL precursor cells together with a source of APC, such as DC, and immunogenic peptides. After an appropriate incubation time (typically about 7-28 days), in which the precursor cells are activated and expanded into effector cells, the cells are infused into the patient, where they will destroy (CTL) or facilitate destruction (HTL) of their specific target cells, i.e., tumor cells.

Example 33 An Alternative Method of Identifying and Confirming Motif-Bearing Peptides

Another method of identifying and confirming motif-bearing peptides is to elute them from cells bearing defined MHC molecules. For example, EBV transformed B cell lines used for tissue typing have been extensively characterized to determine which HLA molecules they express. In certain cases these cells express only a single type of HLA molecule. These cells can be transfected with nucleic acids that express the antigen of interest, e.g. 254P1D6B. Peptides produced by endogenous antigen processing of peptides produced as a result of transfection will then bind to HLA molecules within the cell and be transported and displayed on the cell's surface. Peptides are then eluted from the HLA molecules by exposure to mild acid conditions and their amino acid sequence determined, e.g., by mass spectral analysis (e.g., Kubo et al., J. Immunol. 152:3913, 1994). Because the majority of peptides that bind a particular HLA molecule are motif-bearing, this is an alternative modality for obtaining the motif-bearing peptides correlated with the particular HLA molecule expressed on the cell.

Alternatively, cell lines that do not express endogenous HLA molecules can be transfected with an expression construct encoding a single HLA allele. These cells can then be used as described, i.e., they can then be transfected with nucleic acids that encode 254P1D6B to isolate peptides corresponding to 254P1D6B that have been presented on the cell surface. Peptides obtained from such an analysis will bear motif(s) that correspond to binding to the single HLA allele that is expressed in the cell.

As appreciated by one in the art, one can perform a similar analysis on a cell bearing more than one HLA allele and subsequently determine peptides specific for each HLA allele expressed. Moreover, one of skill would also recognize that means other than transfection, such as loading with a protein antigen, can be used to provide a source of antigen to the cell.

Example 34 Complementary Polynucleotides

Sequences complementary to the 254P1D6B-encoding sequences, or any parts thereof, are used to detect, decrease, or inhibit expression of naturally occurring 254P1D6B. Although use of oligonucleotides comprising from about 15 to 30 base pairs is described, essentially the same procedure is used with smaller or with larger sequence fragments. Appropriate oligonucleotides are designed using, e.g., OLIGO 4.06 software (National Biosciences) and the coding sequence of 254P1D6B. To inhibit transcription, a complementary oligonucleotide is designed from the most unique 5′ sequence and used to prevent promoter binding to the coding sequence. To inhibit translation, a complementary oligonucleotide is designed to prevent ribosomal binding to a 254P1D6B-encoding transcript.

Example 35 Purification of Naturally-Occurring or Recombinant 254P1D6B Using 254P1D6B-Specific Antibodies

Naturally occurring or recombinant 254P1D6B is substantially purified by immunoaffinity chromatography using antibodies specific for 254P1D6B. An immunoaffinity column is constructed by covalently coupling anti-254P1D6B antibody to an activated chromatographic resin, such as CNBr-activated SEPHAROSE (Amersham Pharmacia Biotech). After the coupling, the resin is blocked and washed according to the manufacturer's instructions.

Media containing 254P1D6B are passed over the immunoaffinity column, and the column is washed under conditions that allow the preferential absorbance of 254P1D6B (e.g., high ionic strength buffers in the presence of detergent). The column is eluted under conditions that disrupt antibody/254P1D6B binding (e.g., a buffer of pH 2 to pH 3, or a high concentration of a chaotrope, such as urea or thiocyanate ion), and GCR.P is collected.

Example 36 Identification of Molecules which Interact with 254P1D6B

254P1D6B, or biologically active fragments thereof, are labeled with 1211 Bolton-Hunter reagent. (See, e.g., Bolton et al. (1973) Biochem. J. 133:529.) Candidate molecules previously arrayed in the wells of a multi-well plate are incubated with the labeled 254P1D6B, washed, and any wells with labeled 254P1D6B complex are assayed. Data obtained using different concentrations of 254P1D6B are used to calculate values for the number, affinity, and association of 254P1D6B with the candidate molecules.

Example 37 In Vivo Assay for 254P1D6B Tumor Growth Promotion

The effect of a 254P1D6B protein on tumor cell growth can be confirmed in vivo by gene overexpression in a variety of cancer cells such as those in Table I. For example, as appropriate, SCID mice can be injected SQ on each flank with 1×10⁶ prostate, kidney, colon or bladder cancer cells (such as PC3, LNCaP, SCaBER, UM-UC-3, HT1376, SK-CO, Caco, RT4, T24, Caki, A-498 and SW839 cells) containing tkNeo empty vector or 254P1D6B.

At least two strategies can be used:

(1) Constitutive 254P1D6B expression under regulation of a promoter such as a constitutive promoter obtained from the genomes of viruses such as polyoma virus, fowlpox virus (UK 2,211,504 published 5 Jul. 1989), adenovirus (such as Adenovirus 2), bovine papilloma virus, avian sarcoma virus, cytomegalovirus, a retrovirus, hepatitis-B virus and Simian Virus 40 (SV40), or from heterologous mammalian promoters, e.g., the actin promoter or an immunoglobulin promoter, provided such promoters are compatible with the host cell systems.

(2) Regulated expression under control of an inducible vector system, such as ecdysone, tet, etc., can be used provided such promoters are compatible with the host cell systems. Tumor volume is then monitored at the appearance of palpable tumors or by following serum markers such as PSA. Tumor development is followed over time to validate that 254P1D6B-expressing cells grow at a faster rate and/or that tumors produced by 254P1D6B-expressing cells demonstrate characteristics of altered aggressiveness (e.g., enhanced metastasis, vascularization, reduced responsiveness to chemotherapeutic drugs). Tumor volume is evaluated by caliper measurements. Additionally, mice can be implanted with the same cells orthotopically in the prostate, bladder, colon or kidney to determine if 254P1D6B has an effect on local growth, e.g., in the prostate, bladder, colon or kidney or on the ability of the cells to metastasize, specifically to lungs or lymph nodes (Saffran et al., Proc Natl Acad Sci USA. 2001, 98: 2658; Fu, X., et al., Int. J. Cancer, 1991. 49: 938-939; Chang, S., et al., Anticancer Res., 1997, 17: 3239-3242; Peralta, E. A., et al., J. Urol., 1999. 162: 1806-1811). For instance, the orthotopic growth of PC3 and PC3-254P1D6B can be compared in the prostate of SCID mice. Such experiments reveal the effect of 254P1D6B on orthotopic tumor growth, metastasis and/or angiogenic potential.

Furthermore, this assay is useful to confirm the inhibitory effect of candidate therapeutic compositions, such as 254P1D6B antibodies or intrabodies, and 254P1D6B antisense molecules or ribozymes, or 254P1D6B directed small molecules, on cells that express a 254P1D6B protein.

Example 38 254P1D6B Monoclonal Antibody-Mediated Inhibition of Tumors In Vivo

The significant expression of 254P1D6B, in cancer tissues, together with its restricted expression in normal tissues makes 254P1D6B an excellent target for antibody therapy. Similarly, 254P1D6B is a target for T cell-based immunotherapy. Thus, the therapeutic efficacy of anti-254P1D6B mAbs is evaluated, e.g., in human prostate cancer xenograft mouse models using androgen-independent LAPC-4 and LAPC-9 xenografts (Craft, N., et al. Cancer Res, 1999. 59(19): p. 5030-5036), kidney cancer xenografts (AGS-K3, AGS-K6), kidney cancer metastases to lymph node (AGS-K6 met) xenografts, and kidney cancer cell lines transfected with 254P1D6B, such as 769P-254P1D6B, A498-254P1D6B.

Antibody efficacy on tumor growth and metastasis formation is studied, e.g., in mouse orthotopic prostate cancer xenograft models and mouse kidney xenograft models. The antibodies can be unconjugated, as discussed in this example, or can be conjugated to a therapeutic modality, as appreciated in the art. Anti-254P1D6B mAbs inhibit formation of both the androgen-dependent LAPC-9 and androgen-independent PC3-254P1D6B tumor xenografts. Anti-254P1D6B mAbs also retard the growth of established orthotopic tumors and prolonged survival of tumor-bearing mice. These results indicate the utility of anti-254P1D6B mAbs in the treatment of local and advanced stages of, e.g., prostate cancer. (See, e.g., Saffran, D., et al., PNAS10: 1073-1078 or located on the World Wide Web at (.pnas.org/cgi/doi/10.1073/pnas.051624698). Similarly, anti-254P1D6B mAbs inhibit formation of AGS-K3 and AGS-K6 tumors in SCID mice, and prevent or retard the growth A498-254P1D6B tumor xenografts. These results indicate the use of anti-254P1D6B mAbs in the treatment of prostate and/or kidney cancer.

Administration of the anti-254P1D6B mAbs leads to retardation of established orthotopic tumor growth and inhibition of metastasis to distant sites, resulting in a significant prolongation in the survival of tumor-bearing mice. These studies indicate that 254P1D6B is an attractive target for immunotherapy and demonstrate the therapeutic use of anti-254P1D6B mAbs for the treatment of local and metastatic cancer. This example demonstrates that unconjugated 254P1D6B monoclonal antibodies are effective to inhibit the growth of human prostate tumor xenografts and human kidney xenografts grown in SCID mice.

Tumor Inhibition Using Multiple Unconjugated 254P1D6B Mabs Materials and Methods

254P1D6B Monoclonal Antibodies:

Monoclonal antibodies are obtained against 254P1D6B, as described in Example 11 entitled: Generation of 254P1D6B Monoclonal Antibodies (mAbs), or may be obtained commercially. The antibodies are characterized by ELISA, Western blot, FACS, and immunoprecipitation for their capacity to bind 254P1D6B. Epitope mapping data for the anti-254P1D6B mAbs, as determined by ELISA and Western analysis, recognize epitopes on a 254P1D6B protein. Immunohistochemical analysis of cancer tissues and cells is performed with these antibodies.

The monoclonal antibodies are purified from ascites or hybridoma tissue culture supernatants by Protein-G Sepharose chromatography, dialyzed against PBS, filter sterilized, and stored at −20° C. Protein determinations are performed by a Bradford assay (Bio-Rad, Hercules, Calif.). A therapeutic monoclonal antibody or a cocktail comprising a mixture of individual monoclonal antibodies is prepared and used for the treatment of mice receiving subcutaneous or orthotopic injections of, e.g., LAPC-9 prostate tumor xenografts.

Cancer Xenografts and Cell Lines

The LAPC-9 xenograft, which expresses a wild-type androgen receptor and produces prostate-specific antigen (PSA), is passaged in 6- to 8-week-old male ICR-severe combined immunodeficient (SCID) mice (Taconic Farms) by subcutaneous (s.c.) trocar implant (Craft, N., et al., 1999, Cancer Res. 59:5030-5036). The AGS-K3 and AGS-K6 kidney xenografts are also passaged by subcutaneous implants in 6- to 8-week old SCID mice. Single-cell suspensions of tumor cells are prepared as described in Craft, et al. The prostate carcinoma cell line PC3 (American Type Culture Collection) is maintained in RPMI supplemented with L-glutamine and 10% FBS, and the kidney carcinoma line A498 (American Type Culture Collection) is maintained in DMEM supplemented with L-glutamine and 10% FBS.

PC3-254P1D6B and A498-254P1D6B cell populations are generated by retroviral gene transfer as described in Hubert, R. S., et al., STEAP: A Prostate-specific Cell-surface Antigen Highly Expressed in Human Prostate Tumors, Proc Natl. Acad. Sci. USA, 1999. 96(25): p. 14523-14528. Anti-254P1D6B staining is detected by using, e.g., an FITC-conjugated goat anti-mouse antibody (Southern Biotechnology Associates) followed by analysis on a Coulter Epics-XL f low cytometer.

Xenograft Mouse Models.

Subcutaneous (s.c.) tumors are generated by injection of 1×10⁶LAPC-9, AGS-K3, AGS-K6, PC3, PC3-254P1D6B, A498 or A498-254P1D6B cells mixed at a 1:1 dilution with Matrigel (Collaborative Research) in the right flank of male SCID mice. To test antibody efficacy on tumor formation, i.p. antibody injections are started on the same day as tumor-cell injections. As a control, mice are injected with either purified mouse IgG (ICN) or PBS; or a purified monoclonal antibody that recognizes an irrelevant antigen not expressed in human cells. In preliminary studies, no difference is found between mouse IgG or PBS on tumor growth. Tumor sizes are determined by vernier caliper measurements, and the tumor volume is calculated as length×width×height. Mice with s.c. tumors greater than 1.5 cm in diameter are sacrificed. PSA levels are determined by using a PSA ELISA kit (Anogen, Mississauga, Ontario). Circulating levels of anti-254P1D6B mAbs are determined by a capture ELISA kit (Bethyl Laboratories, Montgomery, Tex.). (See, e.g., (Saffran, D., et al., PNAS10:1073-1078 or on the world wide web as pnas.org/cgi/doi/10.1073/pnas.051624698)

Orthotopic prostate injections are performed under anesthesia by using ketamine/xylazine. For prostate orthotopic studies, an incision is made through the abdominal muscles to expose the bladder and seminal vesicles, which then are delivered through the incision to expose the dorsal prostate. LAPC-9 cells (5×10⁵) mixed with Matrigel are injected into each dorsal lobe in a 10 μl volume. To monitor tumor growth, mice are bled on a weekly basis for determination of PSA levels. For kidney orthotopic models, an incision is made through the abdominal muscles to expose the kidney. AGS-K3 or AGS-K6 cells mixed with Matrigel are injected under the kidney capsule. The mice are segregated into groups for appropriate treatments, with anti-254P1D6B or control mAbs being injected i.p.

Anti-254P1D6B mAbs Inhibit Growth of 254P1D6B-Expressing Xenograft-Cancer Tumors

The effect of anti-254P1D6B mAbs on tumor formation is tested by using, e.g., LAPC-9 and/or AGS-K3 orthotopic models. As compared with the s.c. tumor model, the orthotopic model, which requires injection of tumor cells directly in the mouse prostate or kidney, respectively, results in a local tumor growth, development of metastasis in distal sites, deterioration of mouse health, and subsequent death (Saffran, D., et al., PNAS supra; Fu, X., et al., Int J Cancer, 1992. 52(6): p. 987-90; Kubota, T., J Cell Biochem, 1994. 56(1): p. 4-8). The features make the orthotopic model more representative of human disease progression and allow for tracking of the therapeutic effect of mAbs on clinically relevant end points.

Accordingly, tumor cells are injected into the mouse prostate or kidney, and the mice are segregated into two groups and treated with either: a) 200-500 μg, of anti-254P1D6B Ab, or b) PBS for two to five weeks.

As noted, a major advantage of the orthotopic prostate-cancer model is the ability to study the development of metastases. Formation of metastasis in mice bearing established orthotopic tumors is studied by IHC analysis on lung sections using an antibody against a prostate-specific cell-surface protein STEAP expressed at high levels in LAPC-9 xenografts (Hubert, R. S., et al., Proc Natl. Acad. Sci. USA, 1999. 96(25): p. 14523-14528) or anti-G250 antibody for kidney cancer models. G250 is a clinically relevant marker for renal clear cell carcinoma, which is selectively expressed on tumor but not normal kidney cells (Grabmaier K et al., Int J. Cancer. 2000, 85: 865).

Mice bearing established orthotopic LAPC-9 tumors are administered 500-1000 g injections of either anti-254P1D6B mAb or PBS over a 4-week period. Mice in both groups are allowed to establish a high tumor burden (PSA levels greater than 300 ng/ml), to ensure a high frequency of metastasis formation in mouse lungs. Mice then are killed and their prostate/kidney and lungs are analyzed for the presence of tumor cells by IHC analysis.

These studies demonstrate a broad anti-tumor efficacy of anti-254P1D6B antibodies on initiation and/or progression of prostate and kidney cancer in xenograft mouse models. Anti-254P1D6B antibodies inhibit tumor formation of both androgen-dependent and androgen-independent prostate tumors as well as retarding the growth of already established tumors and prolong the survival of treated mice. Moreover, anti-254P1D6B mAbs demonstrate a dramatic inhibitory effect on the spread of local prostate tumor to distal sites, even in the presence of a large tumor burden. Similar therapeutic effects are seen in the kidney cancer model. Thus, anti-254P1D6B mAbs are efficacious on major clinically relevant end points (tumor growth), prolongation of survival, and health.

Example 39 Therapeutic and Diagnostic Use of Anti-254P1D6B Antibodies in Humans

Anti-254P1D6B monoclonal antibodies are safely and effectively used for diagnostic, prophylactic, prognostic and/or therapeutic purposes in humans. Western blot and immunohistochemical analysis of cancer tissues and cancer xenografts with anti-254P1D6B mAb show strong extensive staining in carcinoma but significantly lower or undetectable levels in normal tissues. Detection of 254P1D6B in carcinoma and in metastatic disease demonstrates the usefulness of the mAb as a diagnostic and/or prognostic indicator. Anti-254P1D6B antibodies are therefore used in diagnostic applications such as immunohistochemistry of kidney biopsy specimens to detect cancer from suspect patients.

As determined by flow cytometry, anti-254P1D6B mAb specifically binds to carcinoma cells. Thus, anti-254P1D6B antibodies are used in diagnostic whole body imaging applications, such as radioimmunoscintigraphy and radioimmunotherapy, (see, e.g., Potamianos S., et. al. Anticancer Res 20(2A):925-948 (2000)) for the detection of localized and metastatic cancers that exhibit expression of 254P1D6B. Shedding or release of an extracellular domain of 254P1D6B into the extracellular milieu, such as that seen for alkaline phosphodiesterase B10 (Meerson, N. R., Hepatology 27:563-568 (1998)), allows diagnostic detection of 254P1D6B by anti-254P1D6B antibodies in serum and/or urine samples from suspect patients.

Anti-254P1D6B antibodies that specifically bind 254P1D6B are used in therapeutic applications for the treatment of cancers that express 254P1D6B. Anti-254P1D6B antibodies are used as an unconjugated modality and as conjugated form in which the antibodies are attached to one of various therapeutic or imaging modalities well known in the art, such as a prodrugs, enzymes or radioisotopes. In preclinical studies, unconjugated and conjugated anti-254P1D6B antibodies are tested for efficacy of tumor prevention and growth inhibition in the SCID mouse cancer xenograft models, e.g., kidney cancer models AGS-K3 and AGS-K6, (see, e.g., the Example entitled “254P1D6B Monoclonal Antibody-mediated Inhibition of Bladder and Lung Tumors In Vivo”). Either conjugated and unconjugated anti-254P1D6B antibodies are used as a therapeutic modality in human clinical trials either alone or in combination with other treatments as described in following Examples.

Example 40 Human Clinical Trials for the Treatment and Diagnosis of Human

Carcinomas through use of Human Anti-254P1D6B Antibodies In vivo

Antibodies are used in accordance with the present invention which recognize an epitope on 254P1D6B, and are used in the treatment of certain tumors such as those listed in Table I. Based upon a number of factors, including 254P1D6B expression levels, tumors such as those listed in Table I are presently preferred indications. In connection with each of these indications, three clinical approaches are successfully pursued.

I.) Adjunctive therapy: In adjunctive therapy, patients are treated with anti-254P1D6B antibodies in combination with a chemotherapeutic or antineoplastic agent and/or radiation therapy. Primary cancer targets, such as those listed in Table I, are treated under standard protocols by the addition anti-254P1D6B antibodies to standard first and second line therapy. Protocol designs address effectiveness as assessed by reduction in tumor mass as well as the ability to reduce usual doses of standard chemotherapy. These dosage reductions allow additional and/or prolonged therapy by reducing dose-related toxicity of the chemotherapeutic agent. Anti-254P1D6B antibodies are utilized in several adjunctive clinical trials in combination with the chemotherapeutic or antineoplastic agents adriamycin (advanced prostrate carcinoma), cisplatin (advanced head and neck and lung carcinomas), taxol (breast cancer), and doxorubicin (preclinical).

II.) Monotherapy: In connection with the use of the anti-254P1D6B antibodies in monotherapy of tumors, the antibodies are administered to patients without a chemotherapeutic or antineoplastic agent. In one embodiment, monotherapy is conducted clinically in end stage cancer patients with extensive metastatic disease. Patients show some disease stabilization. Trials demonstrate an effect in refractory patients with cancerous tumors.

III.) Imaging Agent: Through binding a radionuclide (e.g., iodine or yttrium (I¹³¹, Y⁹⁰) to anti-254P1D6B antibodies, the radiolabeled antibodies are utilized as a diagnostic and/or imaging agent. In such a role, the labeled antibodies localize to both solid tumors, as well as, metastatic lesions of cells expressing 254P1D6B. In connection with the use of the anti-254P1D6B antibodies as imaging agents, the antibodies are used as an adjunct to surgical treatment of solid tumors, as both a pre-surgical screen as well as a post-operative follow-up to determine what tumor remains and/or returns. In one embodiment, a (¹¹¹In)-254P1D6B antibody is used as an imaging agent in a Phase I human clinical trial in patients having a carcinoma that expresses 254P1D6B (by analogy see, e.g., Divgi et al. J. Natl. Cancer Inst. 83:97-104 (1991)). Patients are followed with standard anterior and posterior gamma camera. The results indicate that primary lesions and metastatic lesions are identified.

Dose and Route of Administration

As appreciated by those of ordinary skill in the art, dosing considerations can be determined through comparison with the analogous products that are in the clinic. Thus, anti-254P1D6B antibodies can be administered with doses in the range of 5 to 400 mg/m², with the lower doses used, e.g., in connection with safety studies. The affinity of anti-254P1D6B antibodies relative to the affinity of a known antibody for its target is one parameter used by those of skill in the art for determining analogous dose regimens. Further, anti-254P1D6B antibodies that are fully human antibodies, as compared to the chimeric antibody, have slower clearance; accordingly, dosing in patients with such fully human anti-254P1D6B antibodies can be lower, perhaps in the range of 50 to 300 mg/m², and still remain efficacious. Dosing in mg/m², as opposed to the conventional measurement of dose in mg/kg, is a measurement based on surface area and is a convenient dosing measurement that is designed to include patients of all sizes from infants to adults.

Three distinct delivery approaches are useful for delivery of anti-254P1D6B antibodies. Conventional intravenous delivery is one standard delivery technique for many tumors. However, in connection with tumors in the peritoneal cavity, such as tumors of the ovaries, biliary duct, other ducts, and the like, intraperitoneal administration may prove favorable for obtaining high dose of antibody at the tumor and to also minimize antibody clearance. In a similar manner, certain solid tumors possess vasculature that is appropriate for regional perfusion. Regional perfusion allows for a high dose of antibody at the site of a tumor and minimizes short term clearance of the antibody.

Clinical Development Plan (CDP)

Overview: The CDP follows and develops treatments of anti-254P1D6B antibodies in connection with adjunctive therapy, monotherapy, and as an imaging agent. Trials initially demonstrate safety and thereafter confirm efficacy in repeat doses. Trails are open label comparing standard chemotherapy with standard therapy plus anti-254P1D6B antibodies. As will be appreciated, one criteria that can be utilized in connection with enrollment of patients is 254P1D6B expression levels in their tumors as determined by biopsy.

As with any protein or antibody infusion-based therapeutic, safety concerns are related primarily to (i) cytokine release syndrome, i.e., hypotension, fever, shaking, chills; (ii) the development of an immunogenic response to the material (i.e., development of human antibodies by the patient to the antibody therapeutic, or HAHA response); and, (iii) toxicity to normal cells that express 254P1D6B. Standard tests and follow-up are utilized to monitor each of these safety concerns. Anti-254P1D6B antibodies are found to be safe upon human administration.

Example 41 Human Clinical Trial Adjunctive Therapy with Human Anti-254P1D6B Antibody and Chemotherapeutic Agent

A phase I human clinical trial is initiated to assess the safety of six intravenous doses of a human anti-254P1D6B antibody in connection with the treatment of a solid tumor, e.g., a cancer of a tissue listed in Table I. In the study, the safety of single doses of anti-254P1D6B antibodies when utilized as an adjunctive therapy to an antineoplastic or chemotherapeutic agent as defined herein, such as, without limitation: cisplatin, topotecan, doxorubicin, adriamycin, taxol, or the like, is assessed. The trial design includes delivery of six single doses of an anti-254P1D6B antibody with dosage of antibody escalating from approximately about 25 mg/m² to about 275 mg/m² over the course of the treatment in accordance with the following schedule:

Day 0 Day 7 Day 14 Day 21 Day 28 Day 35 mAb Dose 25 75 125 175 225 275 mg/m² mg/m² mg/m² mg/m² mg/m² mg/m² Chemotherapy + + + + + + (standard dose)

Patients are closely followed for one-week following each administration of antibody and chemotherapy. In particular, patients are assessed for the safety concerns mentioned above: (i) cytokine release syndrome, i.e., hypotension, fever, shaking, chills; (ii) the development of an immunogenic response to the material (i.e., development of human antibodies by the patient to the human antibody therapeutic, or HAHA response); and, (iii) toxicity to normal cells that express 254P1D6B. Standard tests and follow-up are utilized to monitor each of these safety concerns. Patients are also assessed for clinical outcome, and particularly reduction in tumor mass as evidenced by MRI or other imaging.

The anti-254P1D6B antibodies are demonstrated to be safe and efficacious, Phase II trials confirm the efficacy and refine optimum dosing.

Example 42 Human Clinical Trial Monotherapy with Human Anti-254P1D6B Antibody

Anti-254P1D6B antibodies are safe in connection with the above-discussed adjunctive trial, a Phase II human clinical trial confirms the efficacy and optimum dosing for monotherapy. Such trial is accomplished, and entails the same safety and outcome analyses, to the above-described adjunctive trial with the exception being that patients do not receive chemotherapy concurrently with the receipt of doses of anti-254P1D6B antibodies.

Example 43 Human Clinical Trial Diagnostic Imaging with Anti-254P1D6B Antibody

Once again, as the adjunctive therapy discussed above is safe within the safety criteria discussed above, a human clinical trial is conducted concerning the use of anti-254P1D6B antibodies as a diagnostic imaging agent. The protocol is designed in a substantially similar manner to those described in the art, such as in Divgi et al. J. Natl. Cancer Inst. 83:97-104 (1991). The antibodies are found to be both safe and efficacious when used as a diagnostic modality.

Example 44 Involvement in Tumor Progression

The 254P1D6B gene contributes to the growth of cancer cells. The role of 254P1D6B in tumor growth is confirmed in a variety of primary and transfected cell lines including prostate, colon, bladder and kidney cell lines, as well as NIH 3T3 cells engineered to stably express 254P1D6B. Parental cells lacking 254P1D6B and cells expressing 254P1D6B are evaluated for cell growth using a well-documented proliferation assay (Fraser S P, et al., Prostate 2000; 44:61, Johnson D E, Ochieng J, Evans S L. Anticancer Drugs. 1996, 7:288). The effect of 254P1D6B can also be observed on cell cycle progression. Control and 254P1D6B-expressing cells are grown in low serum overnight, and treated with 10% FBS for 48 and 72 hrs. Cells are analyzed for BrdU and propidium iodide incorporation by FACS analysis.

To confirm the role of 254P1D6B in the transformation process, its effect in colony forming assays is investigated. Parental NIH-3T3 cells lacking 254P1D6B are compared to NIH-3T3 cells expressing 254P1D6B, using a soft agar assay under stringent and more permissive conditions (Song Z. et al. Cancer Res. 2000; 60:6730).

To confirm the role of 254P1D6B in invasion and metastasis of cancer cells, a well-established assay is used. A non-limiting example is the use of an assay which provides a basement membrane or an analog thereof used to detect whether cells are invasive (e.g., a Transwell Insert System assay (Becton Dickinson) (Cancer Res. 1999; 59:6010)). Control cells, including prostate, and bladder cell lines lacking 254P1D6B are compared to cells expressing 254P1D6B. Cells are loaded with the fluorescent dye, calcein, and plated in the top well of a support structure coated with a basement membrane analog (e.g. the Transwell insert) and used in the assay. Invasion is determined by fluorescence of cells in the lower chamber relative to the fluorescence of the entire cell population.

254P1D6B also plays a role in cell cycle and apoptosis. Parental cells and cells expressing 254P1D6B are compared for differences in cell cycle regulation using a well-established BrdU assay (Abdel-Malek Z A. J Cell Physiol. 1988, 136:247). In short, cells are grown under both optimal (full serum) and limiting (low serum) conditions are labeled with BrdU and stained with anti-BrdU Ab and propidium iodide. Cells are analyzed for entry into the G1, S, and G2M phases of the cell cycle. Alternatively, the effect of stress on apoptosis is evaluated in control parental cells and cells expressing 254P1D6B, including normal and tumor prostate, and kidney cells. Engineered and parental cells are treated with various chemotherapeutic agents, such as etoposide, flutamide, etc, and protein synthesis inhibitors, such as cycloheximide. Cells are stained with annexin V-FITC and cell death is measured by FACS analysis. The modulation of cell death by 254P1D6B can play a critical role in regulating tumor progression and tumor load.

When 254P1D6B plays a role in cell growth, transformation, invasion or apoptosis, it is used as a target for diagnostic, prognostic, preventative and/or therapeutic purposes.

Example 45 Involvement in Angiogenesis

Angiogenesis or new capillary blood vessel formation is necessary for tumor growth (Hanahan D, Folkman J. Cell. 1996, 86:353; Folkman J. Endocrinology. 1998 139:441). 254P1D6B plays a role in angiogenesis. Several assays have been developed to measure angiogenesis in vitro and in vivo, such as the tissue culture assays endothelial cell tube formation and endothelial cell proliferation. Using these assays as well as in vitro neo-vascularization, the role of 254P1D6B in angiogenesis, enhancement or inhibition, is confirmed. For example, endothelial cells engineered to express 254P1D6B are evaluated using tube formation and proliferation assays. The effect of 254P1D6B is also confirmed in animal models in vivo. For example, cells either expressing or lacking 254P1D6B are implanted subcutaneously in immunocompromised mice. Endothelial cell migration and angiogenesis are evaluated 5-15 days later using immunohistochemistry techniques. 254P1D6B affects angiogenesis, and it is used as a target for diagnostic, prognostic, preventative and/or therapeutic purposes.

Example 46 Involvement in Cell Adhesion

Cell adhesion plays a critical role in tissue colonization and metastasis. 254P1D6B participates in cellular organization, and as a consequence cell adhesion and motility. To confirm that 254P1D6B regulates cell adhesion, control cells lacking 254P1D6B are compared to cells expressing 254P1D6B, using techniques previously described (see, e.g., Haier et al, Br. J. Cancer. 1999, 80:1867; Lehr and Pienta, J. Natl. Cancer Inst. 1998, 90:118). Briefly, in one embodiment, cells labeled with a fluorescent indicator, such as calcein, are incubated on tissue culture wells coated with media alone or with matrix proteins. Adherent cells are detected by fluorimetric analysis and percent adhesion is calculated. In another embodiment, cells lacking or expressing 254P1D6B are analyzed for their ability to mediate cell-cell adhesion using similar experimental techniques as described above. Both of these experimental systems are used to identify proteins, antibodies and/or small molecules that modulate cell adhesion to extracellular matrix and cell-cell interaction. Cell adhesion plays a critical role in tumor growth, progression, and, colonization, and 254P1D6B is involved in these processes. Thus, it serves as a diagnostic, prognostic, preventative and/or therapeutic modality.

Example 47 In Vitro Biologic Target Validation Target Activation/Inactivation RNA Interference (RNAi)

Systematic alteration of 254P1D6B gene activity in relevant cell assays or in animal models is an approach for understanding gene function. There are two complementary platforms to alter gene function: Target activation and target inactivation. 254P1D6B target gene activation induces a disease phenotype (i.e. tumurogenesis) by mimicking the differential gene activity that occurs in several tumors. Conversely, 254P1D6B target inactivation reverses a phenotype found in a particular disease and mimics the inhibition of the target with a putative lead compound/agent.

RNA interference (RNAi) technology is implemented to a variety of cell assays relevant to oncology. RNAi is a post-transcriptional gene silencing mechanism activated by double stranded RNA (dsRNA). RNAi induces specific mRNA degradation leading to changes in protein expression and subsequently in gene function. In mammalian cells, dsRNAs (>30 bp) can activate the interferon pathway which induces non-specific mRNA degradation and protein translation inhibition. When transfecting small synthetic dsRNA (21-23 nucleotides in length), the activation of the interferon pathway is no longer observed, however these dsRNAs have the correct composition to activate the RNAi pathway targeting for degradation, specifically some mRNAs. See, Elbashir S. M., et. al., Duplexes of 21-nucleotide RNAs Mediate RNA interference in Cultured Mammalian Cells, Nature 411(6836):494-8 (2001). Thus, RNAi technology is used successfully in mammalian cells to silence targeted genes.

Loss of cell proliferation control is a hallmark of cancerous cells; thus, assessing the role of 254P1D6B specific target genes in cell survival/proliferation assays is relevant. RNAi technology is implemented to the cell survival (cellular metabolic activity as measured by MTS) and proliferation (DNA synthesis as measured by ³H-thymidine uptake) assays as a first filter to assess 254P1D6B target validation (TV). Tetrazolium-based calorimetric assays (i.e. MTT and MTS) detect viable cells exclusively. Living cells are metabolically active and can reduce tetrazolium salts to colored formazan compounds. Dead cells do not reduce the salts.

An alternative method to analyze 254P1D6B cell proliferation is the measurement of DNA synthesis as a marker for proliferation. Labeled DNA precursors (i.e. ³H-Thymidine) are used and their incorporation to DNA is quantified. Incorporation of the labeled precursor into DNA is directly proportional to the amount of cell division occurring in the culture.

Correlating 254P1D6B cellular phenotype with gene knockdown is critical following RNAi treatments to draw valid conclusions and rule out toxicity or other non-specific effects of these reagents. Assays to measure the levels of expression of both protein and mRNA for the 254P1D6B target after RNAi treatments are important. Specific antibodies against the 254P1D6B target permit this question to be addressed by performing Western blotting with whole cell lysates.

An alternative method is the use of a tagged full length 254P1D6B target cDNA inserted in a mammalian expression vector (i.e. pcDNA3 series) providing a tag for which commercial Abs are available (Myc, His, V5 etc) is transiently co-transfected with individual siRNAs for 254P1D6B gene target, for instance in COS cells. Transgene expression permits the evaluation of which siRNA is efficiently silencing target gene expression, thus providing the necessary information to correlate gene function with protein knockdown. Both endogenous and transgene expression approaches show similar results.

A further alternative method for 254P1D6B target gene expression is measurement of mRNA levels by RT-PCR or by Taqman/Cybergreen. These methods are applied in a high throughput manner and are used in cases where neither Abs nor full length cDNAs are available. Using this method, poly-A mRNA purification and a careful design of primers/probes (should be 5′ to the siRNA targeted sequence) is needed for the Taqman approach. Some considerations apply to the primer design if pursuing RT-PCR from total RNA (primers should flank the siRNA targeted sequence). However, in some instances, the correlation between mRNA/protein is not complete (i.e., protein a with long half life) and the results could be misleading.

Several siRNAs per 254P1D6B target gene are selected and tested in parallel in numerous cell lines (usually with different tissue origin) in the survival and proliferation assays. Any phenotypic effect of the siRNAs in these assays is correlated with the protein and/or mRNA knockdown levels in the same cell lines. To further correlate cell phenotype and specific gene knockdown by RNAi, serial siRNA titrations are performed and are tested in parallel cell phenotype and gene knockdown. When 254P1D6B is responsible for the phenotype, a similar IC₅₀ value in both assays is obtained.

Another method used to measure cell proliferation is performing clonogenic assays. In these assays, a defined number of cells are plated onto the appropriate matrix and the number of colonies formed after a period of growth following siRNA treatment is counted.

In 254P1D6B cancer target validation, complementing the cell survival/proliferation analysis with apoptosis and cell cycle profiling studies are considered. The biochemical hallmark of the apoptotic process is genomic DNA fragmentation, an irreversible event that commits the cell to die. A method to observe fragmented DNA in cells is the immunological detection of histone-complexed DNA fragments by an immunoassay (i.e. cell death detection ELISA) which measures the enrichment of histone-complexed DNA fragments (mono- and oligo-nucleosomes) in the cytoplasm of apoptotic cells. This assay does not require pre-labeling of the cells and can detect DNA degradation in cells that do not proliferate in vitro (i.e. freshly isolated tumor cells).

The most important effector molecules for triggering apoptotic cell death are caspases. Caspases are proteases that when activated cleave numerous substrates at the carboxy-terminal site of an aspartate residue mediating very early stages of apoptosis upon activation. All caspases are synthesized as pro-enzymes and activation involves cleavage at aspartate residues. In particular, caspase 3 seems to play a central role in the initiation of cellular events of apoptosis. Assays for determination of caspase 3 activation detect early events of apoptosis. Following RNAi treatments, Western blot detection of active caspase 3 presence or proteolytic cleavage of products (i.e. PARP) found in apoptotic cells further support an active induction of apoptosis. Because the cellular mechanisms that result in apoptosis are complex, each has its advantages and limitations. Consideration of other criteria/endpoints such as cellular morphology, chromatin condensation, membrane bebbling, apoptotic bodies help to further support cell death as apoptotic.

Not all the gene targets that regulate cell growth are anti-apoptotic, the DNA content of permeabilized cells is measured to obtain the profile of DNA content or cell cycle profile. Nuclei of apoptotic cells contain less DNA due to the leaking out to the cytoplasm (sub-G1 population). In addition, the use of DNA stains (i.e. propidium iodide) also differentiate between the different phases of the cell cycle in the cell population due to the presence of different quantities of DNA in G0/G1, S and G2/M. In these studies the subpopulations can be quantified.

For the 254P1D6B gene, RNAi studies facilitate the contribution of the gene product in cancer pathways. Such active RNAi molecules have use in identifying assays to screen for mAbs that are active anti-tumor therapeutics. When 254P1D6B plays a role in cell survival, cell proliferation, tumorogenesis, or apoptosis, it is used as a target for diagnostic, prognostic, preventative and/or therapeutic purposes.

Example 48 RNA Interference (RNAi)

Various protocols for achieving RNA interference are available.

Exemplary Protocol 1

RNA interference (RNAi) makes use of sequence specific double stranded RNA to prevent gene expression. Small interfering RNA (siRNA) is transfected into mammalian cells and thereby induce sequence specific mRNA degradation (Elbashir, et al., Nature, 2001; vol. 411: 494-498).

The sense strand of 254P1D6B is labeled at 3′ with fluorescein, 6-FAM (ABS 494 nm, EMM 525 nm, green). The siRNA is dissolved in RNA-free sterile buffer (100 mM KOAc, 30 mM HEPES KOH, 2 mM MOAc, at pH 7.4) to make 20 μM stock (200-fold concentration). The siRNA is transfected into cells seeded on 6-well plates with oligofectamine reagent (GIBCO/Invitrogen, Carlsbad, Calif.). The final concentration of siRNA is determined.

254P1D6B protein expression is detected 24 hours after transfection by immunostaining followed by flow cytometry. In addition, confirmation of altered gene expression is performed by Western blotting. Expression reduction is confirmed by Western blot analysis where 254P1D6B protein is substantially reduced in 254P1D6B RNAi treated cells relative to control and untreated cells.

Exemplary Protocol 2

In one embodiment, the day before siRNA transfection, cells are plated in media (e.g., RPMI 1640 (GIBCO/Invitrogen, Carlsbad, Calif.) with 10% FBS without antibiotics) at 2×10³ cells/well in 80 μl (96 well plate format) for the survival, proliferation and apoptosis assays. In another embodiment, the day before siRNA transfection, cells are plated in media (e.g., RPMI 1640 with 10% FBS without antibiotics) at 5×10⁴ cells/well in 800 μl (12 well plate format) for the cell cycle analysis by flow cytometry, gene silencing by Western blot and/or PCR analysis. In parallel with the 254P1D6B siRNA sequences, the following sequences are included in every experiment as controls. Mock transfected cells with Lipofectamine 2000 (GIBCO/Invitrogen, Carlsbad, Calif.) and annealing buffer (no siRNA), non-specific siRNA (targeted sequence not represented in the human genome 5′ AATTCTCCGAACGTGTCACGTTT 3′; commercial control from Xeragon/Qiagen, Valencia, Calif.) (SEQ ID NO:275); Luciferase specific siRNA (targeted sequence: 5′ AAGGGACGAAGACGAACACWUCTT 3′) (SEQ ID NO:276) and Eg5 specific siRNA (targeted sequence: 5′ AACTGAAGACCTGAAGACAATAA 3′) (SEQ ID NO:277). The siRNAs are used at various concentrations (ranging from 200 μM to 100 nM) and 1 μg/ml Lipofectamine 2000.

The procedure is as follows: First siRNAs are diluted in OPTIMEM (serum-free transfection media, Invitrogen) at suitable μM (10-fold concentrated) and incubated 5-10 min at room temperature (RT). Lipofectamine 2000 was diluted at 10 μg/ml (10-fold concentrated) for the total number transfections and incubated 5-10 min RT. Appropriate amounts of diluted 10-fold concentrated Lipofectamine 2000 are mixed 1:1 with diluted 10-fold concentrated siRNA and incubated at RT for 20-30 minutes (5-fold concentrated transfection solution). 20 or 200 μl of the 5-fold concentrated transfection solutions were added to the respective samples and incubated at 37° C. for 48 to 96 hours (depending upon the assay employed, such as proliferation, apoptosis, survival, cell cycle analysis, migration or Western blot).

Reduced gene expression of 254P1D6B using siRNA transfection results in significantly diminished proliferation of transformed cancer cells that endogenously express the antigen. Cells treated with specific siRNAs show reduced survival as measured, e.g., by a metabolic readout of cell viability, corresponding to the reduced proliferative capacity. Further, such cells undergo apoptosis in response to RNAi as measured, e.g., by a nucleosome-release assay (Roche Applied Science, Indianapolis, Ind.) or detection of sub-G1 populations during cell cycle analysis by propidium iodide staining and flow cytometry. These results demonstrate that siRNA treatment provides an effective therapeutic for the elimination of cancer cells that specifically express the 254P1D6B antigen.

Throughout this application, various website data content, publications, patent applications and patents are referenced. (Websites are referenced by their Uniform Resource Locator, or URL, addresses on the World Wide Web.) The disclosures of each of these references are hereby incorporated by reference herein in their entireties.

The present invention is not to be limited in scope by the embodiments disclosed herein, which are intended as single illustrations of individual aspects of the invention, and any that are functionally equivalent are within the scope of the invention. Various modifications to the models and methods of the invention, in addition to those described herein, will become apparent to those skilled in the art from the foregoing description and teachings, and are similarly intended to fall within the scope of the invention. Such modifications or other embodiments can be practiced without departing from the true scope and spirit of the invention.

Tables:

TABLE I Tissues that Express 254P1D6B when malignant: Lung Ovary Prostate Pancreas Breast

TABLE II Amino Acid Abbreviations SINGLE LETTER THREE LETTER FULL NAME F Phe phenylalanine L Leu leucine S Ser serine Y Tyr tyrosine C Cys cysteine W Trp tryptophan P Pro proline H His histidine Q Gln glutamine R Arg arginine I Ile isoleucine M Met methionine T Thr threonine N Asn asparagine K Lys lysine V Val valine A Ala alanine D Asp aspartic acid E Glu glutamic acid G Gly glycine

TABLE III Amino Acid Substitution Matrix Adapted from the GCG Software 9.0 BLOSUM62 amino acid substitution matrix (block substitution matrix).The higher the value, the more likely a substitution is found in related, natural proteins. (See world wide web URL ikp.unibe.ch/manual/blosum62.html) A C D E F G H I K L M N P Q R S T V W Y . 4 0 −2 −1 −2 0 −2 −1 −1 −1 −1 −2 −1 −1 −1 1 0 0 −3 −2 A 9 −3 −4 −2 −3 −3 −1 −3 −1 −1 −3 −3 −3 −3 −1 −1 −1 −2 −2 C 6 2 −3 −1 −1 −3 −1 −4 −3 1 −1 0 −2 0 −1 −3 −4 −3 D 5 −3 −2 0 −3 1 −3 −2 0 −1 2 0 0 −1 −2 −3 −2 E 6 −3 −1 0 −3 0 0 −3 −4 −3 −3 −2 −2 −1 1 3 F 6 −2 −4 −2 −4 −3 0 −2 −2 −2 0 −2 −3 −2 −3 G 8 −3 −1 −3 −2 1 −2 0 0 −1 −2 −3 −2 2 H 4 −3 2 1 −3 −3 −3 −3 −2 −1 3 −3 −1 I 5 −2 −1 0 −1 1 2 0 −1 −2 −3 −2 K 4 2 −3 −3 −2 −2 −2 −1 1 −2 −1 L 5 −2 −2 0 −1 −1 −1 1 −1 −1 M 6 −2 0 0 1 0 −3 −4 −2 N 7 −1 −2 −1 −1 −2 −4 −3 P 5 1 0 −1 −2 −2 −1 Q 5 −1 −1 −3 −3 −2 R 4 1 −2 −3 −2 S 5 0 −2 −2 T 4 −3 −1 V 11 2 W 7 Y

Table IV HLA Class I/II Motifs/Supermotifs

TABLE IV (A) HLA Class I Supermotifs/Motifs POSITION POSITION POSITION 2 (Primary 3 (Primary C Terminus Anchor) Anchor) (Primary Anchor) SUPERMOTIF A1 TI LVMS FWY A2 LIVM ATQ IV MATL A3 VSMA TLI RK A24 YF WIVLMT FI YWLM B7 P VILF MWYA B27 RHK FYL WMIVA B44 E D FWYLIMVA B58 ATS FWY LIVMA B62 QL IVMP FWY MIVLA MOTIFS A1 TSM Y A1 DE AS Y A2.1 LM VQIAT V LIMAT A3 LMVISATF CGD KYR HFA A11 VTMLISAGN CDF K RYH A24 YF WM FLIW A*3101 MVT ALIS R K A*3301 MVALF IST RK A*6801 AVT MSLI RK B*0702 P LMF WYAIV B*3501 P LMFWY IVA B51 P LIVF WYAM B*5301 P IMFWY ALV B*5401 P ATIV LMFWY Bolded residues are preferred, italicized residues are less preferred: A peptide is considered motif-bearing if it has primary anchors at each primary anchor position for a motif or supermotif as specified in the above table.

TABLE IV (B) HLA Class II Supermotif 1 6 9 W, F, Y, V, I, L A, V, I, L, P, C, S, T A, V, I, L, C, S, T, M, Y

TABLE IV (C) HLA Class II Motifs MOTIFS 1° anchor 1 2 3 4 5 1° anchor 6 7 8 9 DR4 preferred FMYLIVW M T I VSTCPALIM MH MH deleterious W R WDE DR1 preferred MFLIVWY PAMQ VMATSPLIC M AVM deleterious C CH FD CWD GDE D DR7 preferred MFLIVWY M W A IVMSACTPL M IV deleterious C G GRD N G DR3 MOTIFS 1° anchor 1 2 3 1° anchor 4 5 1° anchor 6 Motif a LIVMFY D preferred Motif b LIVMFAY DNQEST KRH preferred DR Supermotif MFLIVWY VMSTACPLI Italicized residues indicate less preferred or “tolerated” residues

TABLE IV (D) HLA Class I Supermotifs SUPER- POSITION: MOTIFS 1 2 3 4 5 6 7 8 C-terminus A1 1° Anchor 1° Anchor TILVMS FWY A2 1° Anchor 1° Anchor LIVMATQ LIVMAT A3 Preferred 1° Anchor YFW YFW YFW P 1° Anchor VSMATLI (4/5) (3/5) (4/5) (4/5) RK deleterious DE (3/5); DE P (5/5) (4/5) A24 1° Anchor 1° Anchor YFWIVLMT FIYWLM B7 Preferred FWY (5/5) 1° Anchor FWY FWY 1° Anchor LIVM (3/5) P (4/5) (3/5) VILFMWYA deleterious DE (3/5); DE G QN DE P (5/5); (3/5) (4/5) (4/5) (4/5) G (4/5); A (3/5); QN (3/5) B27 1° Anchor 1° Anchor RHK FYLWMIVA B44 1° Anchor 1° Anchor ED FWYLIMVA B58 1° Anchor 1° Anchor ATS FWYLIVMA B62 1° Anchor 1° Anchor QLIVMP FWYMIVLA Italicized residues indicate less preferred or “tolerated” residues

TABLE IV (E) HLA Class I Motifs POSITION 1 2 3 4 5 A1 preferred GFYW 1° Anchor DEA YFW 9-mer STM deleterious DE RHKLIVMP A G A1 preferred GRHK ASTCLIVM 1° Anchor GSTC 9-mer DEAS deleterious A RHKDEPYFW DE PQN A1 preferred YFW 1° Anchor DEAQN A YFWQN 10-mer STM deleterious GP RHKGLIVM DE RHK A1 preferred YFW STCLIVM 1° Anchor A YFW 10-mer DEAS deleterious RHK RHKDEPYFW P A2.1 preferred YFW 1° Anchor YFW STC YFW 9-mer LMIVQAT deleterious DEP DERKH A2.1 preferred AYFW 1° Anchor LVIM G 10-mer LMIVQAT deleterious DEP DE RKHA P A3 preferred RHK 1° Anchor YFW PRHK A LMVISATFCGD YFW deleterious DEP DE A11 preferred A 1° Anchor YFW YFW A VTLMISAGNC DF deleterious DEP A24 preferred YFWRHK 1° Anchor STC 9-mer YFWM deleterious DEG DE G QNP A24 Preferred 1° Anchor P YFWP 10-mer YFWM Deleterious GDE QN RHK A3101 Preferred RHK 1° Anchor YFW P MVTALIS Deleterious DEP DE ADE A3301 Preferred 1° Anchor YFW MVALFIST Deleterious GP DE A6801 Preferred YFWSTC 1° Anchor YFWLI AVTMSLI VM deleterious GP DEG RHK B0702 Preferred RHKFWY 1° Anchor RHK RHK P deleterious DEQNP DEP DE DE B3501 Preferred FWYLIVM 1° Anchor FWY P deleterious AGP G B51 Preferred LIVMFWY 1° Anchor FWY STC FWY P deleterious AGPDERH DE KSTC B5301 preferred LIVMFWY 1° Anchor FWY STC FWY P deleterious AGPQN B5401 preferred FWY 1° Anchor FWYLIVM LIVM P deleterious GPQNDE GDESTC RHKDE POSITION 9 or C- 6 7 8 C-terminus terminus A1 preferred P DEQN YFW 1° Anchor 9-mer Y deleterious A A1 preferred ASTC LIVM DE 1° Anchor 9-mer Y deleterious RHK PG GP A1 preferred PASTC GDE P 1° Anchor 10-mer Y deleterious QNA RHKYFW RHK A A1 preferred PG G YFW 1° Anchor 10-mer Y deleterious G PRHK QN A2.1 preferred A P 1° Anchor 9-mer VLIMAT deleterious RKH DERKH A2.1 preferred G FYWLV 1° Anchor 10-mer IM VLIMAT deleterious RKH DERKH RKH A3 preferred YFW P 1° Anchor KYRHFA deleterious A11 preferred YFW YFW P 1° Anchor KRYH deleterious A G A24 preferred YFW YFW 1° Anchor 9-mer FLIW deleterious DERHK G AQN A24 Preferred P 1° Anchor 10-mer FLIW Deleterious DE A QN DEA A3101 Preferred YFW YFW AP 1° Anchor RK Deleterious DE DE DE A3301 Preferred AYFW 1° Anchor RK Deleterious A6801 Preferred YFW P 1° Anchor RK deleterious A B0702 Preferred RHK RHK PA 1° Anchor LMFWYAIV deleterious GDE QN DE B3501 Preferred FWY 1° Anchor LMFWYIVA deleterious G B51 Preferred G FWY 1° Anchor LIVFWYAM deleterious G DEQN GDE B5301 preferred LIVMFWY FWY 1° Anchor IMFWYALV deleterious G RHKQN DE B5401 preferred ALIVM FWYAP 1° Anchor ATIVLMFWY deleterious DE QNDGE DE

TABLE IV (F) Summary of HLA-supertypes Overall phenotypic frequencies of HLA-supertypes in different ethnic populations Phenotypic frequency Specificity N.A. Supertype Position 2 C-Terminus Caucasian Black Japanese Chinese Hispanic Average B7 P AILMVFWY 43.2 55.1 57.1 43.0 49.3 49.5 A3 AILMVST RK 37.5 42.1 45.8 52.7 43.1 44.2 A2 AILMVT AILMVT 45.8 39.0 42.4 45.9 43.0 42.2 A24 YF FI (YWLM) 23.9 38.9 58.6 40.1 38.3 40.0 (WIVLMT) B44 E (D) FWYLIMVA 43.0 21.2 42.9 39.1 39.0 37.0 A1 TI (LVMS) FWY 47.1 16.1 21.8 14.7 26.3 25.2 B27 RHK FYL (WMI) 28.4 26.1 13.3 13.9 35.3 23.4 B62 QL (IVMP) FWY (MIV) 12.6 4.8 36.5 25.4 11.1 18.1 B58 ATS FWY (LIV) 10.0 25.1 1.6 9.0 5.9 10.3

TABLE IV (G) Calculated population coverage afforded by different HLA-supertype combinations Phenotypic frequency N.A HLA-supertypes Caucasian Blacks Japanese Chinese Hispanic Average A2, A3 and B7 83.0 86.1 87.5 88.4 86.3 86.2 A2, A3, B7, A24, B44 and A1 99.5 98.1 100.0 99.5 99.4 99.3 A2, A3, B7, A24, B44, A1, B27, 99.9 99.6 100.0 99.8 99.9 99.8 B62, and B58 Motifs indicate the residues defining supertype specificites. The motifs incorporate residues determined on the basis of published data to be recognized by multiple alleles within the supertype. Residues within brackets are additional residues also predicted to be tolerated by multiple alleles within the supertype.

TABLE V Frequently Occurring Motifs avrg. % Name identity Description Potential Function zf-C2H2 34% Zinc finger, C2H2 Nucleic acid-binding protein functions type as transcription factor, nuclear location probable cytochrome_b_N 68% Cytochrome b(N- membrane bound oxidase, generate terminal)/b6/petB superoxide Ig 19% Immunoglobulin domains are one hundred amino acids domain long and include a conserved intradomain disulfide bond. WD40 18% WD domain, G- tandem repeats of about 40 residues, beta repeat each containing a Trp-Asp motif. Function in signal transduction and protein interaction PDZ 23% PDZ domain may function in targeting signaling molecules to sub-membranous sites LRR 28% Leucine Rich short sequence motifs involved in Repeat protein-protein interactions Pkinase 23% Protein kinase conserved catalytic core common to domain both serine/threonine and tyrosine protein kinases containing an ATP binding site and a catalytic site PH 16% PH domain pleckstrin homology involved in intracellular signaling or as constituents of the cytoskeleton EGF 34% EGF-like domain 30-40 amino-acid long found in the extracellular domain of membrane- bound proteins or in secreted proteins Rvt 49% Reverse transcriptase (RNA-dependent DNA polymerase) Ank 25% Ank repeat Cytoplasmic protein, associates integral membrane proteins to the cytoskeleton Oxidored_q1 32% NADH- membrane associated. Involved in Ubiquinone/plastoquinone proton translocation across the (complex membrane I), various chains Efhand 24% EF hand calcium-binding domain, consists of a12 residue loop flanked on both sides by a 12 residue alpha-helical domain Rvp 79% Retroviral aspartyl Aspartyl or acid proteases, centered on protease a catalytic aspartyl residue Collagen 42% Collagen triple extracellular structural proteins helix repeat (20 involved in formation of connective copies) tissue. The sequence consists of the G- X-Y and the polypeptide chains forms a triple helix. Fn3 20% Fibronectin type III Located in the extracellular ligand- domain binding region of receptors and is about 200 amino acid residues long with two pairs of cysteines involved in disulfide bonds 7tm_1 19% 7 transmembrane seven hydrophobic transmembrane receptor (rhodopsin regions, with the N-terminus located family) extracellularly while the C-terminus is cytoplasmic. Signal through G proteins

TABLE VI Post-translational modifications of 254P1D6B N-Glycosylation site (start position indicated)  196 NSSV (SEQ ID NO: 28)  219 NESA (SEQ ID NO: 29)  262 NSSG (SEQ ID NO: 30)  394 NLSQ (SEQ ID NO: 31)  421 NVTV (SEQ ID NO: 32)  498 NYSF (SEQ ID NO: 33)  513 NSTT (SEQ ID NO: 34)  536 NHTI (SEQ ID NO: 35)  551 NQSS (SEQ ID NO: 36)  715 NNSP (SEQ ID NO: 37)  733 NNSI (SEQ ID NO: 38) 1023 NSSL (SEQ ID NO: 39) 1056 NGSI (SEQ ID NO: 40) Tyrosine sulfation site (Start Position indicated)  156 EEMSEYSDDYRE (SEQ ID NO: 41)  160 EYSDDYRELEK (SEQ ID NO: 42)  527 NNAVDYPPVANAGPNH (SEQ ID NO: 43) Serine predictions (Staff Position indicated)    9 TGVLSSLLL (SEQ ID NO: 44)   10 GVLSSLLLL (SEQ ID NO: 45)   26 RKQCSEGRT (SEQ ID NO: 46)   32 GRTYSNAVI (SEQ ID NO: 47)   37 NAVISPNLE (SEQ ID NO: 48)   49 IMRVSHTFP (SEQ ID NO: 49)   65 CCDLSSCDL (SEQ ID NO: 50)   66 CDLSSCDLA (SEQ ID NO: 51)   81 CYLVSCPHK (SEQ ID NO: 52)   98 GPIRSYLTF (SEQ ID NO: 53)  125 LNRGSPSGI (SEQ ID NO: 54)  127 RGSPSGIWG (SEQ ID NO: 55)  133 IWGDSPEDI (SEQ ID NO: 56)  154 LEEMSEYSD (SEQ ID NO: 57)  157 MSEYSDDYR (SEQ ID NO: 58)  171 LLQPSGKQE (SEQ ID NO: 59)  179 EPRGSAEYT (SEQ ID NO: 60)  191 LLPGSEGAF (SEQ ID NO: 61)  197 GAFNSSVGD (SEQ ID NO: 62)  198 AFNSSVGDS (SEQ ID NO: 63)  202 SVGDSPAVP (SEQ ID NO: 64)  221 YLNESASTP (SEQ ID NO: 65)  223 NESASTPAP (SEQ ID NO: 66)  233 LPERSVLLP (SEQ ID NO: 67)  243 PTTPSSGEV (SEQ ID NO: 68)  244 TTPSSGEVL (SEQ ID NO: 69)  254 KEKASQLQE (SEQ ID NO: 70)  264 SSNSSGKEV (SEQ ID NO: 71)  272 VLMPSHSLP (SEQ ID NO: 72)  274 MPSHSLPPA (SEQ ID NO: 73)  279 LPPASLELS (SEQ ID NO: 74)  283 SLELSSVTV (SEQ ID NO: 75)  284 LELSSVTVE (SEQ ID NO: 76)  290 TVEKSPVLT (SEQ ID NO: 77)  299 VTPGSTEHS (SEQ ID NO: 78)  303 STEHSIPTP (SEQ ID NO: 79)  310 TPPTSAAPS (SEQ ID NO: 80)  314 SAAPSESTP (SEQ ID NO: 81)  316 APSESTPSE (SEQ ID NO: 82)  319 ESTPSELPI (SEQ ID NO: 83)  324 ELPISPTTA (SEQ ID NO: 84)  338 ELTVSAGDN (SEQ ID NO: 85)  376 WNLISHPTD (SEQ ID NO: 86)  396 TLNLSQLSV (SEQ ID NO: 87)  399 LSQLSVGLY (SEQ ID NO: 88)  410 KYTYSSENA (SEQ ID NO: 89)  411 VTVSSENAF (SEQ ID NO: 90)  439 VAVVSPQLQ (SEQ ID NO: 91)  451 LPLTSALID (SEQ ID NO: 92)  457 LIDGSQSTD (SEQ ID NO: 93)  459 DGSQSTDDT (SEQ ID NO: 94)  467 TEIVSYHWE (SEQ ID NO: 95)  483 EEKTSVDSP (SEQ ID NO: 96)  486 TSVDSPVLR (SEQ ID NO: 97)  492 VLRLSNLDP (SEQ ID NO: 98)  500 PGNYSFRLT (SEQ ID NO: 99)  508 TVTDSDGAT (SEQ ID NO: 100)  514 GATNSTTAA (SEQ ID NO: 101)  545 LPQNSITLN (SEQ ID NO: 102)  553 NGNQSSDDH (SEQ ID NO: 103)  554 GNQSSDDHQ (SEQ ID NO: 104)  565 LYEWSLGPG (SEQ ID NO: 105)  570 LGPGSEGKH (SEQ ID NO: 106)  588 YLHLSAMQE (SEQ ID NO: 107)  604 KVTDSSRQQ (SEQ ID NO: 108)  605 VTDSSRQQS (SEQ ID NO: 109)  609 SRQQSTAVV (SEQ ID NO: 110)  641 FPVESATLD (SEQ ID NO: 111)  647 TLDGSSSSD (SEQ ID NO: 112)  648 LDGSSSSDD (SEQ ID NO: 113)  649 DGSSSSDDH (SEQ ID NO: 114)  650 GSSSSDDHG (SEQ ID NO: 115)  667 VRGPSAVEM (SEQ ID NO: 116)  702 QQGLSSTST (SEQ ID NO: 117)  703 QGLSSTSTL (SEQ ID NO: 118)  705 LSSTSTLTV (SEQ ID NO: 119)  717 KENNSPPRA (SEQ ID NO: 120)  735 LPNNSITLD (SEQ ID NO: 121)  741 TLDGSRSTD (SEQ ID NO: 122)  743 DGSRSTDDQ (SEQ ID NO: 123)  751 QRIVSYLWI (SEQ ID NO: 124)  760 RDGQSPAAG (SEQ ID NO: 125)  770 VIDGSDHSV (SEQ ID NO: 126)  773 GSDHSVALQ (SEQ ID NO: 127)  795 RVTDSQGAS (SEQ ID NO: 128)  799 SQGASDTDT (SEQ ID NO: 129)  815 DPRKSGLVE (SEQ ID NO: 130)  850 NVLDSDIKV (SEQ ID NO: 131)  861 IRAHSDLST (SEQ ID NO: 132)  864 HSDLSTVIV (SEQ ID NO: 133)  873 FYVQSRPPF (SEQ ID NO: 134)  894 HMRLSKEKA (SEQ ID NO: 135)  918 LLKCSGHGH (SEQ ID NO: 136)  933 RCICSHLWM (SEQ ID NO: 137)  950 WDGESNCEW (SEQ ID NO: 138)  955 NCEWSIFYV (SEQ ID NO: 139) 1019 IKHRSTEHN (SEQ ID NO: 140) 1024 TEHNSSLMV (SEQ ID NO: 141) 1025 EHNSSLMVS (SEQ ID NO: 142) 1029 SLMVSESEF (SEQ ID NO: 143) 1031 MVSESEFDS (SEQ ID NO: 144) 1035 SEFDSDQDT (SEQ ID NO: 145) 1042 DTIFSREKM (SEQ ID NO: 146) 1054 NPKVSMNGS (SEQ ID NO: 147) 1058 SMNGSIRNG (SEQ ID NO: 148) 1064 RNGASFSYC (SEQ ID NO: 149) 1066 GASFSYCSK (SEQ ID NO: 150) 1069 FSYCSKDR (SEQ ID NO: 151) Threonine predictions (Start Position indicated)    5 MAPPTGYLS (SEQ ID NO: 152)   16 LLLVTIAGC (SEQ ID NO: 153)   30 SEGRTYSNA (SEQ ID NO: 154)   42 PNLETTRIM (SEQ ID NO: 155)   43 NLETTRIMR (SEQ ID NO: 156)   51 RVSHTFPVV (SEQ ID NO: 157)   58 VVDCTAACC (SEQ ID NO: 158)  101 RSYLTFVLR (SEQ ID NO: 159)  183 SAEYTDWGL (SEQ ID NO: 160)  209 VPAETQQDP (SEQ ID NO: 161)  224 ESASTPAPK (SEQ ID NO: 162)  240 LPLPTTPSS (SEQ ID NO: 163)  241 PLPTTPSSG (SEQ ID NO: 164)  286 LSSVTVEKS (SEQ ID NO: 165)  294 SPVLTVTPG (SEQ ID NO: 166)  296 VLTVTPGST (SEQ ID NO: 167)  300 TPGSTEHSI (SEQ ID NO: 168)  306 HSIPTPPTS (SEQ ID NO: 169)  309 PTPPTSAAP (SEQ ID NO: 170)  317 PSESTPSEL (SEQ ID NO: 171)  326 PISPTTAPR (SEQ ID NO: 172)  327 ISPTTAPRT (SEQ ID NO: 173)  331 TAPRTVKEL (SEQ ID NO: 174)  336 VKELTVSAG (SEQ ID NO: 175)  346 NLIITLPDN (SEQ ID NO: 176)  366 PPVETTYNY (SEQ ID NO: 177)  367 PVETTYNYE (SEQ ID NO: 178)  379 ISHPTDYQG (SEQ ID NO: 179)  392 GHKQTLNLS (SEQ ID NO: 180)  408 VFKVTVSSE (SEQ ID NO: 181)  423 FVNVTVKPA (SEQ ID NO: 182)  446 LQELTLPLT (SEQ ID NO: 183)  450 TLPLTSALI (SEQ ID NO: 184)  460 GSQSTDDTE (SEQ ID NO: 185)  463 SIDDIEIVS (SEQ ID NO: 186)  482 IEEKTSVDS (SEQ ID NO: 187)  506 RLTVTDSDG (SEQ ID NO: 188)  512 SDGATNSTT (SEQ ID NO: 189)  515 ATNSTTAAL (SEQ ID NO: 190)  516 TNSTTAALI (SEQ ID NO: 191)  538 GPNHTITLP (SEQ ID NO: 192)  540 NHTITLPQN (SEQ ID NO: 193)  547 QNSITLNGN (SEQ ID NO: 194)  582 QGVQTPYLH (SEQ ID NO: 195)  596 EGDYTFQLK (SEQ ID NO: 196)  602 QLKVTDSSR (SEQ ID NO: 197)  610 RQQSTAVVT (SEQ ID NO: 198)  614 TAVVTVIVQ (SEQ ID NO: 199)  643 VESATLDGS (SEQ ID NO: 200)  680 KAIATVTGL (SEQ ID NO: 201)  682 IATVTGLQV (SEQ ID NO: 202)  688 LQVGTYHFR (SEQ ID NO: 203)  694 HFRLTVKDQ (SEQ ID NO: 204)  704 GLSSTSTLT (SEQ ID NO: 205)  706 SSTSTLTVA (SEQ ID NO: 206)  708 TSTLTVAVK (SEQ ID NO: 207)  737 NNSITLDGS (SEQ ID NO: 208)  744 GSRSTDDQR (SEQ ID NO: 209)  779 ALQLTNLVE (SEQ ID NO: 210)  787 EGVYTFHLR (SEQ ID NO: 211)  793 HLRVTDSQG (SEQ ID NO: 212)  801 GASDTDTAT (SEQ ID NO: 213)  803 SDTDTATVE (SEQ ID NO: 214)  805 TDTATVEVQ (SEQ ID NO: 215)  821 LVELTLQVG (SEQ ID NO: 216)  830 VGQLTEQRK (SEQ ID NO: 217)  836 QRKDTLVRQ (SEQ ID NO: 218)  865 SDLSTVIVF (SEQ ID NO: 219)  910 LRVDTAGCL (SEQ ID NO: 220)  927 CDPLTKRCI (SEQ ID NO: 221)  960 IFYVTVLAF (SEQ ID NO: 222)  965 VLAFTLIVL (SEQ ID NO: 223)  970 LIVLTGGFT (SEQ ID NO: 224)  974 TGGFTWLCI (SEQ ID NO: 225)  987 RQKRTKIRK (SEQ ID NO: 226)  993 IRKKTKYTI (SEQ ID NO: 227)  996 KTKYTILDN (SEQ ID NO: 228) 1020 KHRSTEHNS (SEQ ID NO: 229) 1039 SDQDTIFSR (SEQ ID NO: 230) Tyrosine predictions (Start Position indicated)   31 EGRTYSNAV (SEQ ID NO: 231)   78 EGRCYLVSC (SEQ ID NO: 232)   99 PIRSYLTFV (SEQ ID NO: 233)  116 QLLDYGDMM (SEQ ID NO: 234)  156 EMSEYSDDY (SEQ ID NO: 235)  160 YSDDYRELE (SEQ ID NO: 236)  182 GSAEYTDWG (SEQ ID NO: 237)  217 PELHYLNES (SEQ ID NO: 238)  368 VETTYNYEW (SEQ ID NO: 239)  370 TTYNYEWNL (SEQ ID NO: 240)  381 HPTDYQGEI (SEQ ID NO: 241)  403 SVGLYVFKV (SEQ ID NO: 242)  468 EIVSYHWEE (SEQ ID NO: 243)  499 DPGNYSFRL (SEQ ID NO: 244)  527 NAVDYPPVA (SEQ ID NO: 245)  562 QIVLYEWSL (SEQ ID NO: 246)  584 VQTPYLHLS (SEQ ID NO: 247)  595 QEGDYTFQL (SEQ ID NO: 248)  658 GIVFYHWEH (SEQ ID NO: 249)  689 QVGTYHFRL (SEQ ID NO: 250)  752 RIVSYLWIR (SEQ ID NO: 251)  786 VEGVYTFHL (SEQ ID NO: 252)  870 VIVFYVQSR (SEQ ID NO: 253)  944 LIQRYIWDG (SEQ ID NO: 254)  958 WSIFYVTVL (SEQ ID NO: 255)  995 KKTKYTILD (SEQ ID NO: 256) 1013 LRPKYGIKH (SEQ ID NO: 257) 1067 ASFSYCSKD (SEQ ID NO: 258)

TABLE VII Search Peptides 254P1D6Bv.1    1 MAPPTGVLSS LLLLVTIAGC ARKQCSEGRT YSNAVISPNL ETTRIMRVSH TFPVVDCTAA (SEQ ID NO: 259)   61 CCDLSSCDLA WWFEGRCYLV SCPHKENCEP KKMGPIRSYL TFVLRPVQRP AQLLDYGDMM  121 LNRGSPSGIW GDSPEDIRKD LPFLGKDWGL EEMSEYSDDY RELEKDLLQP SGKQEPRGSA  181 EYTDWGLLPG SEGAFNSSVG DSPAVPAETQ QDPELHYLNE SASTPAPKLP ERSVLLPLPT  241 TPSSGEVLEK EKASQLQEQS SNSSGKEVLM PSHSLPPASL ELSSVTVEKS PVLTVTPGST  301 EHSIPTPPTS AAPSESTPSE LPISPTTAPR TVKELTVSAG DNLIITLPDN EVELKAFVAP  361 APEVETTYNY EWNLISHPTD YQGEIKQGHK QTLNLSQLSV GLYVFKVTVS SENAFGEGFV  421 NVTVKPARRV NLPPVAVVSP QLQELTLPLT SALIDGSQST DDTEIVSYHW EFINGEFIEE  481 KTSVDSPVLR LSNLDPGNYS FRLTVTDSDG ATNSTTAALI VNNAVDYPPV ANAGPNHTIT  541 LPQNSITLNG NQSSDDHQIV LYEWSLGPGS EGKHVVMQGV QTPYLHLSAM QEGDYTFQLK  601 VTDSSRQQST AVVTVIVQPE NNRPPVAVAG PDKELIFPVE SATLDGSSSS DDHGIVFYHW  661 EHVRGPSAVE MENIDKAIAT VTGLQVGTYH FRLTVKDQQG LSSTSTLTVA VKKENNSPPR  721 ARAGGRHVLV LPNNSITLDG SRSTDDQRIV SYLWIRDGQS PAAGDVIDGS DHSVALQLTN  781 LVEGVYTFHL RVTDSQGASD TDTATVEVQP DPRKSGLVEL TLQVGVGQLT EQRKDTLVRQ  841 LAVLLNVLDS DIKVQKIRAH SDLSTVIVFY VQSRPPFKVL KAAEVARNLH MRLSKEKADF  901 LLFKVLRVDT AGCLLKCSGH GHCDPLTKRC ICSHLWMENL IQRYIWDGES NCEWSIFYVT  961 VLAFTLIVLT GGFTWLCICC CKRQKRTKIR KKTKYTILDN MDEQERMELR PKYGIKHRST 1021 EHNSSLMVSE SEFDSDQDTI FSREKMERGN PKVSMNGSIR NGASFSYCSK DR 254P1D6Bv.2 9-mers, aa 149-175 GLEEMSEYADDYRELEK (SEQ ID NO: 260) 10-mers, aa 148-176 WGLEEMSEYADDYRELEKD (SEQ ID NO: 261) 15-mers, aa 143-181 FLGKDWGLEEMSEYADDYRELEKDLLQPS (SEQ ID NO: 262) 254P1D6BV.3 9-mers, aa 1-18 MTRLGWPSPCCARKQCSE (SEQ ID NO: 263) 10-mers, aa 1-19 MTRLGWPSPCCARKQCSEG (SEQ ID NO: 264) 15-mers, aa 1-24 MTRLGWPSPCCARKQCSEGRTYSN (SEQ ID NO: 265) 254P1D6Bv.5 9-mers, aa 134-150 PEDIRKDLTFLGKDWGL (SEQ ID NO: 266) 10-mers, aa 133-151 SPEDIRKDLTFLGKDWGLE (SEQ ID NO: 267) 15-mers, aa 128-156 GIWGDSPEDIRKDLTFLGKDWGLEEMSEY (SEQ ID NO: 268)

TABLE VIII-254P1D6B v.1 HLA A1 9-mers Each peptide is a portion of SEQ ID NO: 3; each start position is specified, the length of peptide is 9 amino acids and the end position for each peptide is the start position plus eight. Pos Subsequence Score 493 NLDPGNYSF 100.0 668 AVEMENIDK 90.000 39 NLETTRIMR 45.000 649 SSDDHGIVF 37.500 936 WMENLIQRY 22.500 153 MSEYSDDYR 13.500 805 TVEVQPDPR 9.000 743 STDDQRIVS 6.250 182 YTDWGLLPG 6.250 459 STDDTEIVS 6.250 922 HCDPLTKRC 5.000 351 EVELKAFVA 4.500 87 NCEPKKMGP 4.500 244 SGEVLEKEK 4.500 382 QGEIKQGHK 4.500 462 DTEIVSYHW 4.500 951 NCEWSIFYV 4.500 553 SSDDHQIVL 3.750 1034 DSDQDTIFS 3.750 569 GSEGKHVVM 2.700 25 CSEGRTYSN 2.700 554 SDDHQIVLY 2.500 650 SDDHGIVFY 2.500 460 TDDTEIVSY 2.500 138 RKDLPFLGK 2.500 157 SDDYRELEK 2.500 897 KADFLLFKV 2.500 378 PTDYQGEIK 2.500 800 DTDTATVEV 2.500 483 SVDSPVLRL 2.500 113 LLDYGDMML 2.500 347 LPDNEVELK 2.500 505 VTDSDGATN 2.500 744 TDDQRIVSY 2.500 592 EGDYTFQLK 2.500 349 DNEVELKAF 2.250 829 LTEQRKDTL 2.250 1019 STEHNSSLM 2.250 565 SLGPGSEGK 2.000 84 HKENCEPKK 1.800 279 SLELSSVTV 1.800 860 HSDLSTVIV 1.500 769 GSDHSVALQ 1.500 798 ASDTDTATV 1.500 410 SSENAFGEG 1.350 190 GSEGAFNSS 1.350 778 LTNLVEGVY 1.250 130 WGDSPEDIR 1.250 809 QPDPRKSGL 1.250 681 VTGLQVGTY 1.250 601 VTDSSRQQS 1.250 519 LIVNNAVDY 1.000 705 STLTVAVKK 1.000 862 DLSTVIVFY 1.000 54 VVDCTAACC 1.000 15 VTIAGCARK 1.000 524 AVDYPPVAN 1.000 179 SAEYTDWGL 0.900 712 KKENNSPPR 0.900 149 GLEEMSEYS 0.900 781 LVEGVYTFH 0.900 882 AAEVARNLH 0.900 817 LVELTLQVG 0.900 210 QQDPELHYL 0.750 395 LSQLSVGLY 0.750 491 LSNLDPGNY 0.750 315 ESTPSELPI 0.750 849 DSDIKVQKI 0.750 507 DSDGATNST 0.750 587 LSAMQEGDY 0.750 950 SNCEWSIFY 0.625 339 AGDNLIITL 0.625 398 LSVGLYVFK 0.600 220 ESASTPAPK 0.600 704 TSTLTVAVK 0.600 224 TPAPKLPER 0.500 131 GDSPEDIRK 0.500 766 VIDGSDHSV 0.500 473 INGPFIEEK 0.500 373 NLISHPTDY 0.500 274 SLPPASLEL 0.500 847 VLDSDIKVQ 0.500 360 PAPPVETTY 0.500 61 CCDLSSCDL 0.500 907 RVDTAGCLL 0.500 670 EMENIDKAI 0.450 618 QPENNRPPV 0.450 299 STEHSIPTP 0.450 1006 RMEIRPKYG 0.450 638 PVESATLDG 0.450 469 HWEEINGPF 0.450 281 ELSSVTVEK 0.400 870 YVQSRPPFK 0.400 209 TQQDPELHY 0.375 482 TSVDSPVLR 0.300 302 HSIPTPPTS 0.300 97 RSYLTFVLR 0.300 375 ISHPTDYQG 0.300 442 LQELTLPLT 0.270 576 VMQGVQTPY 0.250

TABLE VIII-V2 HLA-A1-9 mers-254P1D68 Each peptide is a portion of SEQ ID NO: 5; each start position is specified, the length of peptide is 9 amino acids, and the end position for each peptide is the start position plus eight. Start Subsequence Score 5 MSEYADDYR 13.500 9 ADDYRELEK 2.500 1 GLEEMSEYA 0.900 4 EMSEYADDY 0.250 8 YADDYRELE 0.050 2 LEEMSEYAD 0.009 7 EYADDYREL 0.001 6 SEYADDYRE 0.000 3 EEMSEYADD 0.000

TABLE VIII-V3 HLA-A1-9mers-254P1D68 Each peptide is a portion of SEQ ID NO: 7; each start position is specified, the length of peptide is 9 amino acids, and the end position for each peptide is the start position plus eight. Start Subsequence Score  6 WPSPCCARK 1.000  3 RLGWPSPCC 0.020  5 GWPSPCCAR 0.005  8 SPCCARKQC 0.003  4 LGWPSPCCA 0.003  7 PSPCCARKQ 0.002  9 PCCARKQCS 0.001  1 MTRLGWPSP 0.001  2 TRLGWPSPC 0.001 10 CCARKQCSE 0.000

TABLE VIII-V5 HLA-A1-9mers-254P1D68 Each peptide is a portion of SEQ ID NO: 11; each start position is specified, the length of peptide is 9 amino acids, and the end position for each peptide is the start position plus eight. Start Subsequence Score 5 RKDLTFLGK 2.500 8 LTFLGKDWG 0.025 7 DLTFLGKDW 0.010 1 PEDIRKDLT 0.003 2 EDIRKDLTF 0.003 9 TFLGKDWGL 0.001 4 IRKDLTFLG 0.000 3 DIRKDLTFL 0.000 6 KDLTFLGKD 6.000

TABLE IX HLA-A1--10-mers-254P1D6B Each peptide is a portion of SEQ ID NO: 3; each start position is specified, the length of peptide is 10 amino acids, and the end position for each peptide is the start position plus nine. Start Subsequence Score  173 KQEPRGSAEY 135.000  743 STDDQRIVSY 125.000  459 STDDTEIVSY 125.000  649 SSDDHGIVFY 75.000  156 YSDDYRELEK 75.000  553 SSDDHQIVLY 75.000  907 RVDTAGCLLK 50.000  493 NLDPGNYSFR 50.000  860 HSDLSTVIVF 37.500 1034 DSDQDTIFSR 37.500  805 TVEVQPDPRK 36.000  847 VLDSDIKVQK 20.000  410 SSENAFGEGF 13.500  130 WGDSPEDIRK 12.500 1019 STEHNSSLMV 11.250   87 NCEFKKMGPI 9.000  849 DSDIKVQKIR 7.500  208 ETQQDPELHY 6.250  922 HCDPLTKRCI 5.000  628 VAGPDKELIF 5.000  997 ILDNMDEQER 5.000  781 LVEGVYTFHL 4.500   39 NLETTRIMRV 4.500  882 AAEARNLHM 4.500  949 ESNCEWSIFY 3.750  769 GSDHSVALQL 3.750  569 GSEGKHVVMQ 2.700   66 SCDLAWWFEG 2.500  182 YTDWGLLPGS 2.500  113 LLDYGDMMLN 2.500  829 LTEQRKDTLV 2.250  951 NCEWSIFYVT 1.800  477 FIEEKTSVDS 1.800  817 LVELTLQVGV 1.800  210 QQDPELHYLN 1.500 1036 DQDTIFSREK 1.500 1028 VSESEFDSDQ 1.350   25 CSEGRTYSNA 1.350 1030 ESEFDSDQDT 1.350  190 GSEGAFNSSV 1.350  601 VTDSSRQQST 1.250  792 VTDSQGASDT 1.250  505 VTDSDGATNS 1.250  539 ITLPQNSITL 1.250 1000 NMDEQERMEL 1.250  359 APAPPVETTY 1.250  800 DTDTATVEVQ 1.250  809 QPDPRKSGLV 1.250   35 VISPNLETTR 1.000  524 AVDYPPVANA 1.000  518 ALIVNNAVDY 1.000  186 GLLPGSEGAF 1.000  667 SAVEMENIDK 1.000  703 STSTLTVAVK 1.000  670 EMENIDKAIA 0.900 1006 RMELRPKYGI 0.900  179 SAEYTDWGLL 0.900  668 AVEMENIDRA 0.900  648 SSSDDHGIVF 0.750  507 DSDGATNSTT 0.750  273 HSLPPASLEL 0.750  590 MQEGDYTFQL 0.675  442 LQELTLPLTS 0.675  592 EGDYTFQLKV 0.625  378 PTDYQGEIKQ 0.625  347 LPDNEVELKA 0.625  872 QSRPPFKVLK 0.600  704 TSTLTVAVKK 0.600  777 QLTNLVEGVY 0.500  687 GTYHFRLTVK 0.500  897 KADFLLFKVL 0.500  766 VIDGSDHSVA 0.500  729 LVLPNNSITL 0.500  394 NLSQLSVGLY 0.500  586 HLSAMQEGDY 0.500  445 LTLPLTSALI 0.500   61 CCDLSSCDLA 0.500  680 TVTGLQVGTY 0.500  223 STPAPKLPER 0.500  100 LTFVLRPVQR 0.500  483 SVDSPVLRLS 0.500    1 MAPPTGVLSS 0.500  575 VVMQGVQTPY 0.500  955 SIFYVTVLAF 0.500  345 ITLPDNEVEL 0.500  164 EKDLLQPSGK 0.500 1039 TIFSREKMER 0.500  481 KTSVDSPVLR 0.500  490 RLSNLDPGNY 0.500  532 NAGPNHTITL 0.500  415 FGEGFVNVTV 0.450  936 WMENLIQRYI 0.450  349 DNEVELKAFV 0.450  618 QPENNRPPVA 0.450  286 TVEKSPVLTV 0.450 1001 MDEQERMELR 0.450   76 RCYLVSCPHK 0.400  397 QLSVGLYVFK 0.400   14 LVTIAGCARK 0.400  107 VQRPAQLLDY 0.375

TABLE IX-V2 HLA-A1-10mers-254P1D68 Each peptide is a portion of SEQ ID NO: 5; each start position is specified, the length of peptide is 10 amino acids, and the end position for each peptide is the start position plus nine. Start Subsequence Score  9 YADDYRELEK 50.000  6 MSEYADDYRE  0.270  2 GLEEMSEYAD  0.180  5 EMSEYADDYR  0.050  4 EEMSEYADDY  0.025  3 LEEMSEYADD  0.009 10 ADDYRELEKD  0.003  1 WGLEEMSEYA  0.003  7 SEYADDYREL  0.001  8 EYADDYRELE  0.000

TABLE IX-V3 HLA-A1-10mers-254P1D68 Each peptide is a portion of SEQ ID NO: 7; each start position is specified, the length of peptide is 10 amino acids, and the end position for each peptide is the start position plus nine. Start Subsequence Score  4 LGWPSPCCAR 0.025  6 WPSPCCARKQ 0.025  5 GWPSPCCARK 0.020  3 RLGWPSPCCA 0.010  8 SPCCARKQCS 0.003  1 MTRLGWPSPC 0.003  7 PSPCCARKQC 0.002 10 CCARKQCSEG 0.001  2 TRLGWPSPCC 0.001  9 PCCARKQCSE 0.000

TABLE IX-V5 HLA-A1-10mers-254P1D68 Each peptide is a portion of SEQ ID NO: 11; each start position is specified, the length of peptide is 10 amino acids, and the end position for each peptide is the start position plus nine. Start Subsequence Score  1 SPEDIRKDLT 0.225  2 PEDIRKDLTF 0.125  9 LTFLGKDWGL 0.025  8 DLTFLGKDWG 0.010  5 IRKDLTFLGK 0.005  6 RKDLTFLGKD 0.003  4 DIRKDLTFLG 0.001  7 KDLTFLGKDW 0.001 10 TFLGKDWGLE 0.000  3 EDIRKDLTFL 0.000

TABLE X-V1 HLA-A0201-HLA-9mers-254P1D68 Each peptide is a portion of SEQ ID NO: 3; each start position is specified, the length of peptide is 9 amino acids, and the end position for each peptide is the start position plus eight. Start Subsequence Score  900 FLLFKVLRV 2722.683  401 GLYVFKVTV 845.752  968 VLTGGFTWL 379.503  228 KLPERSVLL 306.550   92 KMGPIRSYL 296.997  816 GLVELTLQV 285.163    7 VLSSLLLLV 271.948   99 YLTFVLRPV 147.172  396 SQLSVGLYV 143.504  944 YIWDGESNC 106.931  846 NVLDSDIKV 92.322  441 QLQELTLPL 87.586  346 TLPDNEVEL 87.586  399 SVGLYVFKV 81.185  777 QLTNLVEGV 78.385  784 GVYTFHLRV 74.003   12 LLLVTIAGC 71.872  392 TLNLSQLSV 69.552  871 VQSRPPFKV 69.531  839 RQLAVLLNV 60.011  863 LSTVIVFYV 56.629  958 YVTVLAFTL 49.871  112 QLLDYGDMM 36.929  730 VLPNNSITL 36.316  960 TVLAFTLIV 35.082  961 VLAFTLIVL 34.246  655 IVFYHWEHV 31.887  828 QLTEQRKDT 30.553  452 ALIDGSQST 30.553  350 NEVELKAFV 30.497  558 QIVLYEWSL 22.030  394 NLSQLSVGL 21.362  540 TLPQNSITL 21.362  274 SLPPASLEL 21.362  577 MQGVQTPYL 20.251  840 QLAVLLNVL 20.145  836 TLVRQLAVL 20.145  897 KADFLLFKV 18.041  844 LLNVLDSDI 17.736  728 VLVLPNNSI 17.736  390 KQTLNLSQL 17.436   10 SLLLLVTIA 17.334  344 IITLPDNEV 16.258  607 QQSTAVVTV 16.219    6 GVLSSLLLL 15.907  113 LLDYGDMML 14.526  687 GTYHFRLTV 11.747 1045 KMERGNPKV 11.252  210 QQDPELHYL 10.960  685 QVGTYHFRL 10.841  446 TLPLTSALI 10.433  591 QEGDYTFQL 9.878  186 GLLPGSEGA 9.007  673 NIDKAIATV 8.798  818 VELTLQVGV 8.507  700 GLSSTSTLT 7.452  437 VVSPQLQEL 7.309  366 TTYNYEWNL 7.121  766 VIDGSDHSV 6.503  635 LIFPVESAT 6.445  821 TLQVGVGQL 6.387  429 RVNLPPVAV 6.086  284 SVTVEKSPV 6.086  774 VALQLTNLV 6.076  973 FTWLCICCC 6.059  233 SVLLPLPTT 5.549  497 GNYSFRLTV 5.521   40 LETTRIMRV 5.288  191 SEGAFNSSV 5.139   47 RVSHTFPVV 4.741  419 FVNVTVKPA 4.599  279 SLELSSVTV 4.451  773 SVALQLTNL 4.299  782 VEGVYTFHL 4.096  517 AALIVNNAV 3.574  969 LTGGFTWLC 3.343  669 VEMENIDKA 2.808  579 GVQTPYLHL 2.804  430 VNLPPVAVV 2.693  955 SIFYVTVLA 2.527  676 KAIATVTGL 2.388  858 RAHSDLSTV 2.222 1031 SEFDSDQDT 2.198  951 NCEWSIFYV 2.132   35 VISPNLETT 1.963  627 AVAGPDKEL 1.869  445 LTLPLTSAL 1.866  483 SVDSPVLRL 1.720  729 LVLPNNSIT 1.682  292 VLTVTPGST 1.647  678 IATVTGLQV 1.642  948 GESNCEWSI 1.521  988 KIRKKTKYT 1.499  962 LAFTLIVLT 1.497  538 TITLPQNSI 1.435  830 TEQRKDTLV 1.352  416 GEGFVNVTV 1.352 1020 TEHNSSLMV 1.352  465 IVSYHWEEI 1.293  822 LQVGVGQLT 1.284

TABLE X-V2 HLA-A0201-9mers-254P1D68 Each peptide is a portion of SEQ ID NO: 5; each start position is specified, the length of peptide is 9 amino acids, and the end position for each peptide is the start position plus eight. Start Subsequence Score 1 GLEEMSEYA 3.513 4 EMSEYADDY 0.008 6 SEYADDYRE 0.001 8 YADDYRELE 0.001 7 EYADDYREL 0.000 3 EEMSEYADD 0.000 2 LEEMSEYAD 0.000 5 MSEYADDYR 0.000 9 ADDYRELEK 0.000

TABLE X-V3 HLA-A0201-9mers-254P1D68 Each peptide is a portion of SEQ ID NO: 7; each start position is specified, the length of peptide is 9 amino acids, and the end position for each peptide is the start position plus eight. Start Subsequence Score  3 RLGWPSPCC 4.968  4 LGWPSPCCA 0.458  8 SPCCARKQC 0.032  2 TRLGWPSPC 0.003  6 WPSPCCARK 0.000 10 CCARKQCSE 0.000  1 MTRLGWPSP 0.000  9 PCCARKQCS 0.000  5 GWPSPCCAR 0.000  7 PSPCCARKQ 0.000

TABLE X-V5 HLA-A0201-9mers-254P1D68 Each peptide is a portion of SEQ ID NO: 11; each start position is specified, the length of peptide is 9 amino acids, and the end position for each peptide is the start position plus eight. Start Subsequence Score 9 TFLGKDWGL 0.412 3 DIRKDLTFL 0.212 8 LTFLGKDWG 0.018 7 DLTFLGKDW 0.006 1 PEDIRKDLT 0.001 6 KDLTFLGKD 0.000 5 RKDLTFLGK 0.000 4 IRKDLTFLG 0.000 2 EDIRKDLTF 0.000

TABLE XI-V1 HLA-A0201--10mers-254P1D68 Each peptide is a portion of SEQ ID NO: 3; each start position is specified, the length of peptide is 10 amino acids, and the end position for each peptide is the start position plus nine. Start Subsequence Score  862 DLSTVIVFYV 382.727  112 QLLDYGDMML 324.068  968 VLTGGFTWLC 240.700  870 YVQSRPPFKV 162.369  576 VMQGVQTPYL 144.256  950 SNCEWSIFYV 136.577  967 IVLTGGFTWL 122.864  209 TQQDPELHYL 112.335  217 YLNESASTPA 93.696   11 LLLLVTIAGC 71.872  441 QLQELTLPLT 70.272  700 GLSSTSTLTV 69.552  843 VLLNVLDSDI 65.622  952 CEWSIFYVTV 63.982  892 RLSKEKADFL 57.572    6 GVLSSLLLLV 51.790  776 LQLTNLVEGV 49.989  617 VQPENNRPPV 49.151  901 LLFKVLRVDT 46.873  828 QLTEQRKDTL 42.917   45 IMRVSHTFPV 37.642  961 VLAFTLIVLT 29.137 1000 NMDEQERMEL 25.303  692 RLTVKDQQGL 21.362  836 TLVRQLAVLL 21.362  684 LQVGTYHFRL 21.356   92 KMGPIRSYLT 18.837  635 LIFPVESATL 18.476  120 MLNRGSPSGI 17.736  343 LIITLPDNEV 16.258  606 RQQSTAVVTV 16.219  808 VQPDPRKSGL 15.096  269 LMPSHSLPPA 14.029  355 KAFVAPAPPV 12.510    7 VLSSLLLLVT 11.946  729 LVLPNNSITL 11.757  400 VGLYVFKVTV 10.852  398 LSVGLYVFKV 10.296   39 NLETTRIMRV 10.238  677 AIATVTGLQV 9.563  958 YVTVLAFTLI 7.978  654 GIVFYHWEHV 7.966  386 KQGHKQTLNL 7.581  839 RQLAVLLNVL 7.557  821 TLQVGVGQLT 7.452  278 ASLELSSVTV 6.887  413 NAFGEGFVNV 6.791  141 LPFLGKDWGL 6.579  960 TVLAFTLIVL 6.522  660 WEHVRGPSAV 6.221  773 SVALQLTNLV 6.086  128 GIWGDSPEDI 5.834   94 GPIRSYLTFV 5.743  429 RVNLPPVAVV 5.739  904 KVLRVDTAGC 5.629  370 YEWNLISHPT 5.532  965 TLIVLTGGFT 5.328  352 VELKAFVAPA 5.311  669 VEMENIDKAI 5.232  728 VLVLPNNSIT 5.194  436 AVVSPQLQEL 4.299  178 GSAEYTDWGL 4.288  395 LSQLSVGLYV 4.245   12 LLLVTIAGCA 4.062  797 GASDTDTATV 3.961 1054 SMNGSIRNGA 3.588  391 QTLNLSQLSV 3.574  357 FVAPAPPVET 2.999  686 VGTYHFRLTV 2.933  551 NQSSDDHQIV 2.891  871 VQSRPPFKVL 2.868  338 SAGDNLIITL 2.798  827 GQLTEQRKDT 2.796  959 VTVLAFTLIV 2.559  780 NLVEGVYTFH 2.521  936 WMENLIQRYI 2.440  502 RLTVTDSDGA 2.434  630 GPDKELIFPV 2.423  247 VLEKEKASQL 2.324  698 QQGLSSTSTL 2.166   91 KKMGPIRSYL 2.113  765 DVIDGSDHSV 1.871  539 ITLPQNSITL 1.866  345 ITLPDNEVEL 1.866  198 SVGDSPAVPA 1.782  815 SGLVELTLQV 1.680  475 GPFIEEKTSV 1.680  444 ELTLPLTSAL 1.602 1031 SEFDSDQDTI 1.508  102 FVLRPVQRPA 1.480  266 KEVLMPSHSL 1.454  457 SQSTDDTEIV 1.417  633 KELIFPVESA 1.410  590 MQEGDYTFQL 1.367   26 SEGRTYSNAV 1.352  482 TSVDSPVLRL 1.315  939 NLIQRYIWDG 1.285  421 NVTVKPARRV 1.217  781 LVEGVYTFHL 1.180  521 VNNAVDYPPV 1.158

TABLE XI-V2 HLA-A0201-10mers-254P1D68 Each peptide is a portion of SEQ ID NO: 5; each start position is specified, the length of peptide is 10 amino acids, and the end position for each peptide is the start position plus nine. Start Subsequence Score  1 WGLEEMSEYA 6.099  7 SEYADDYREL 0.399  5 EMSEYADDYR 0.009  2 GLEEMSEYAD 0.004  9 YADDYRELEK 0.002  4 EEMSEYADDY 0.000  3 LEEMSEYADD 0.000  6 MSEYADDYRE 0.000 10 ADDYRELEKD 0.000  8 EYADDYRELE 0.000

TABLE XI-V3 HLA-A0201-10mers-254P1D68 Each peptide is a portion of SEQ ID NO: 7; each start position is specified, the length of peptide is 10 amino acids, and the end position for each peptide is the start position plus nine. Start Subsequence Score  3 RLGWPSPCCA 4.968  1 MTRLGWPSPC 0.009  2 TRLGWPSPCC 0.003  4 LGWPSPCCAR 0.001  7 PSPCCARKQC 0.001 10 CCARKQCSEG 0.000  8 SPCCARKQCS 0.000  6 WPSPCCARKQ 0.000  9 PCCARKQCSE 0.000  5 GWPSPCCARK 0.000

TABLE XI-V5 HLA-A0201-10mers-254P1D68 Each peptide is a portion of SEQ ID NO: 11; each start position is specified, the length of peptide is 10 amino acids, and the end position for each peptide is the start position plus nine. Start Subsequence Score  9 LTFLGKDWGL 13.997  3 EDIRKDLTFL 0.028  8 DLTFLGKDWG 0.015  1 SPEDIRKDLT 0.006  7 KDLTFLGKDW 0.001  4 DIRKDLTFLG 0.000  2 PEDIRKDLTF 0.000  6 RKDLTFLGKD 0.000 10 TFLGKDWGLE 0.000  5 IRKDLTFLGK 0.000

TABLE XII-V1 HLA-A3-9mers-254P1D68 Each peptide is a portion of SEQ ID NO: 3; each start position is specified, the length of peptide is 9 amino acids, and the end position for each peptide is the start position plus eight. Start Subsequence Score  780 NLVEGVYTF 40.500  565 SLGPGSEGK 30.000  683 GLQVGTYHF 18.000   68 DLAWWFEGR 10.800  576 VMQGVQTPY 9.000  397 QLSVGLYVF 9.000  589 AMQEGDYTF 9.000  281 ELSSVTVEK 9.000  401 GLYVFKVTV 9.000  493 NLDPGNYSF 9.000  748 RIVSYLWIR 8.100   39 NLETTRIMR 8.000  936 WMENLIQRY 6.000  373 NLISHPTDY 6.000  866 VIVFYVQSR 5.400  152 EMSEYSDDY 5.400   92 KMGPIRSYL 4.050  879 VLKAAEVAR 4.000  668 AVEMENIDK 4.000  598 QLKVTDSSR 4.000  975 WLCICCCKR 4.000 1025 SLMVSESEF 3.000  968 VLTGGFTWL 2.700  816 GLVELTLQV 2.700  228 KLPERSVLL 2.700 1008 ELRPKYGIK 2.700  862 DLSTVIVFY 2.700  705 STLTVAVKK 2.250  892 RLSKEKADF 2.000  870 YVQSRPPFK 2.000  900 FLLFKVLRV 1.800  441 QLQELTLPL 1.800  961 VLAFTLIVL 1.800  784 GVYTFHLRV 1.800  274 SLPPASLEL 1.800   15 VTIAGCARK 1.500  366 TTYNYEWNL 1.350  728 VLVLPNNSI 1.350  186 GLLPGSEGA 1.350  836 TLVRQLAVL 1.350  113 LLDYGDMML 1.200  825 GVGQLTEQR 1.200  730 VLPNNSITL 1.200  540 TLPQNSITL 1.200 1052 KVSMNGSIR 1.200  983 RQKRTKIRK 1.200  112 QLLDYGDMM 0.900  840 QLAVLLNVL 0.900  615 VIVQPENNR 0.900  965 TLIVLTGGF 0.900   10 SLLLLVTIA 0.900  560 VLYEWSLGP 0.900  187 LLPGSEGAF 0.900  687 GTYHFRLTV 0.900  558 QIVLYEWSL 0.810  654 GIVFYHWEH 0.810    6 GVLSSLLLL 0.810    7 VLSSLLLLV 0.600  519 LIVNNAVDY 0.600  346 TLPDNEVEL 0.600  446 TLPLTSALI 0.600  394 NLSQLSVGL 0.600  347 LPDNEVELK 0.600 1062 GASFSYCSK 0.600 1045 KMERGNPKV 0.600  844 LLNVLDSDI 0.600  777 QLTNLVEGV 0.600  579 GVQTPYLHL 0.540  353 ELKAFVAPA 0.540  685 QVGTYHFRL 0.540  483 SVDSPVLRL 0.540  821 TLQVGVGQL 0.540  399 SVGLYVFKV 0.540  986 RTKIRKKTK 0.500   44 RIMRVSHTF 0.450   12 LLLVTIAGC 0.450  634 ELIFPVESA 0.405   14 LVTIAGCAR 0.400  392 TLNLSQLSV 0.400  421 NVTVKPARR 0.400  805 TVEVQPDPR 0.400  209 TQQDPELHY 0.360   97 RSYLTFVLR 0.300  700 GLSSTSTLT 0.300  704 TSTLTVAVK 0.300  473 INGPFIEEK 0.270  684 LQVGTYHFR 0.270  398 LSVGLYVFK 0.225  934 HLWMENLIQ 0.200  890 HMRLSKEKA 0.200  977 CICCCKRQK 0.200  905 VLRVDTAGC 0.200  625 PVAVAGPDK 0.200  914 LLKCSGHGH 0.200  279 SLELSSVTV 0.200  138 RKDLPFLGK 0.180  131 GDSPEDIRK 0.180  681 VTGLQVGTY 0.180  960 TVLAFTLIV 0.180  884 EVARNLHMR 0.180

TABLE XII-V2 HLA-A3-9mers-254P1D68 Each peptide is a portion of SEQ ID NO: 5; each start position is specified, the length of peptide is 9 amino acids, and the end position for each peptide is the start position plus eight. Start Subsequence Score 4 EMSEYADDY 5.400 1 GLEEMSEYA 0.900 9 ADDYRELEK 0.040 5 MSEYADDYR 0.020 6 SEYADDYRE 0.001 8 YADDYRELE 0.001 2 LEEMSEYAD 0.000 3 EEMSEYADD 0.000 7 EYADDYREL 0.000

TABLE XII-V3 HLA-A3-9mers-254P1D68 Each peptide is a portion of SEQ ID NO: 7; each start position is specified, the length of peptide is 9 amino acids, and the end position for each peptide is the start position plus eight. Start Subsequence Score  3 RLGWPSPCC 0.300  6 WPSPCCARK 0.300  5 GWPSPCCAR 0.018  4 LGWPSPCCA 0.002  2 TRLGWPSPC 0.001  8 SPCCARKQC 0.001  1 MTRLGWPSP 0.001 10 CCARKQCSE 0.000  9 PCCARKQCS 0.000  7 PSPCCARKQ 0.000

TABLE XII-V5 HLA-A3-9mers-254P1D68 Each peptide is a portion of SEQ ID NO: 11; each start position is specified, the length of peptide is 9 amino acids, and the end position for each peptide is the start position plus eight. Start Subsequence Score 5 RKDLTFLGK 0.120 7 DLTFLGKDW 0.030 3 DIRKDLTFL 0.027 8 LTFLGKDWG 0.005 9 TFLGKDWGL 0.004 2 EDIRKDLTF 0.002 6 KDLTFLGKD 0.000 4 IRKDLTFLG 0.000 1 PEDIRKDLT 0.000

TABLE XIII-V1 HLA-A3-10mers-254P1D68 Each peptide is a portion of SEQ ID NO: 3; each start position is specified, the length of peptide is 10 amino acids, and the end position for each peptide is the start position plus nine. Start Subsequence Score  934 HLWMENLIQR 60.000  346 TLPDNEVELK 60.000  847 VLDSDIKVQK 30.000  687 GTYHFRLTVK 22.500  844 LLNVLDSDIK 20.000  397 QLSVGLYVFK 20.000  683 GLQVGTYHFR 12.000  888 NLHMRLSKEK 10.000  973 FTWLCICCCK  7.500  655 IVFYHWEHVR  6.000  955 SIFYVTVLAF  6.000   13 LLVTIAGCAR  6.000  825 GVGQLTEQRK  6.000  518 ALIVNNAVDY  6.000  493 NLDPGNYSFR  6.000  865 TVIVFYVQSR  5.400  186 GLLPGSEGAF  4.050  472 EINGPFIEEK  4.050 1039 TIFSREKMER  4.000  907 RVDTAGCLLK  4.000  997 ILDNMDEQER  4.000  394 NLSQLSVGLY  3.600  805 TVEVQPDPRK  3.000  703 STSTLTVAVK  3.000  968 VLTGGFTWLC  2.700 1006 RMELRPKYGI  2.700   14 LVTIAGCARK  2.000  878 KVLKAAEVAR  1.800  152 EMSEYSDDYR  1.800  112 QLLDYGDMML  1.800  777 QLTNLVEGVY  1.800 1000 NMDEQERMEL  1.800  401 GLYVFKVTVS  1.800  895 KEKADFLLFK  1.620  128 GIWGDSPEDI  1.350   92 KMGPIRSYLT  1.350  586 HLSAMQEGDY  1.200 1058 SIRNGASFSY  1.200  241 TPSSGEVLEK  1.200  490 RLSNLDPGNY  1.200  700 GLSSTSTLTV  1.200  100 LTFVLRPVQR  1.000   76 RCYLVSCPHK  1.000  836 TLVRQLAVLL  0.900  828 QLTEQRKDTL  0.900  667 SAVEMENIDK  0.900  575 VVMQGVQTPY  0.900  843 VLLNVLDSDI  0.900  576 VMQGVQTPYL  0.900  614 TVIVQPENNR  0.900  862 DLSTVIVFYV  0.810  781 LVEGVYTFHL  0.810  780 NLVEGVYTFH  0.675  892 RLSKEKADFL  0.600   39 NLETTRIMRV  0.600   35 VISPNLETTR  0.600  406 KVTVSSENAF  0.600  692 RLTVKDQQGL  0.600  247 VLEKEKASQL  0.600  120 MLNRGSPSGI  0.600   45 IMRVSHTFPV  0.600  481 KTSVDSPVLR  0.600  419 FVNVTVKPAR  0.600  416 GEGFVNVTVK  0.540 1008 ELRPKYGIKH  0.540  988 KIRKKTKYTI  0.540  228 KLPERSVLLP  0.540  173 KQEPRGSAEY  0.540  107 VQRPAQLLDY  0.540  680 TVTGLQVGTY  0.540  901 LLFKVLRVDT  0.500  635 LIFPVESATL  0.450  804 ATVEVQPDPR  0.450  872 QSRPPFKVLK  0.450 1054 SMNGSIRNGA  0.450   11 LLLLVTIAGC  0.450  396 SQLSVGLYVF  0.405  939 NLIQRYIWDG  0.405  977 CICCCKRQKR  0.400  684 LQVGTYHFRL  0.364    7 VLSSLLLLVT  0.300  459 STDDTEIVSY  0.300  324 SPTTAPRTVK  0.300  269 LMPSHSLPPA  0.300  217 YLNESASTPA  0.300  743 STDDQRIVSY  0.300  913 CLLKCSGHGH  0.300  223 STPAPKLPER  0.300  381 YQGEIKQGHK  0.270  729 LVLPNNSITL  0.270  960 TVLAFTLIVL  0.270    6 GVLSSLLLLV  0.270  967 IVLTGGFTWL  0.270  149 GLEEMSEYSD  0.270  557 HQIVLYEWSL  0.243  590 MQEGDYTFQL  0.243  564 WSLGPGSEGK  0.225  441 QLQELTLPLT  0.225  816 GLVELTLQVG  0.203  986 RTKIRKKTKY  0.200

TABLE XIII-V2 HLA-A3-10mers-254P1D68 Each peptide is a portion of SEQ ID NO: 5; each start position is specified, the length of peptide is 10 amino acids, and the end position for each peptide is the start position plus nine. Start Subsequence Score  5 EMSEYADDYR 1.800  9 YADDYRELEK 0.400  2 GLEEMSEYAD 0.270  4 EEMSEYADDY 0.016  7 SEYADDYREL 0.001  1 WGLEEMSEYA 0.000  6 MSEYADDYRE 0.000  3 LEEMSEYADD 0.000 10 ADDYRELEKD 0.000  8 EYADDYRELE 0.000

TABLE XIII-V3 HLA-A3-10mers-254P1D68 Each peptide is a portion of SEQ ID NO: 7; each start position is specified, the length of peptide is 10 amino acids, and the end position for each peptide is the start position plus nine. Start Subsequence Score  3 RLGWPSPCCA 0.200  5 GWPSPCCARK 0.060  4 LGWPSPCCAR 0.045  1 MTRLGWPSPC 0.030  2 TRLGWPSPCC 0.001  8 SPCCARKQCS 0.000 10 CCARKQCSEG 0.000  7 PSPCCARKQC 0.000  6 WPSPCCARKQ 0.000  9 PCCARKQCSE 0.000

TABLE XIII-V5 HLA-A3-10mers-254P1D68 Each peptide is a portion of SEQ ID NO: 11; each start position is specified, the length of peptide is 10 amino acids, and the end position for each peptide is the start position plus nine. Start Subsequence Score  9 LTFLGKDWGL 0.450  5 IRKDLTFLGK 0.120  8 DLTFLGKDWG 0.006  4 DIRKDLTFLG 0.002  2 PEDIRKDLTF 0 001  1 SPEDIRKDLT 0.001  7 KDLTFLGKDW 0.000  3 EDIRKDLTFL 0.000  6 RKDLTFLGKD 0.000 10 TFLGKDWGLE 0.000

TABLE XIV-V1 HLA-A1101-9mers-254P1D6B Each peptide is a portion of SEQ ID NO: 3; each start position is specified, the length of peptide is 9 amino acids, and the end position for each peptide is the start position plus eight. Start Subsequence Score  668 AVEMENIDK 4.000  983 RQKRTKIRK 3.600  870 YVQSRPPFK 2.000   15 VTIAGCARK 1.500  705 STLTVAVKK 1.500  986 RTKIRKKTK 1.500  825 GVGQLTEQR 1.200 1052 KVSMNGSIR 1.200  748 RIVSYLWIR 0.720 1062 GASFSYCSK 0.600   77 CYLVSCPHK 0.600  421 NVTVKPARR 0.400  565 SLGPGSEGK 0.400  688 TYHFRLTVK 0.400   14 LVTIAGCAR 0.400  805 TVEVQPDPR 0.400  887 RNLHMRLSK 0.360  784 GVYTFHLRV 0.240  347 LPDNEVELK 0.200  625 PVAVAGPDK 0.200    6 GVLSSLLLL 0.180  684 LQVGTYHFR 0.180  258 EQSSNSSGK 0.180   39 NLETTRIMR 0.160  131 GDSPEDIRK 0.120  138 RKDLPFLGK 0.120  884 EVARNLHMR 0.120  687 GTYHFRLTV 0.120  615 VIVQPENNR 0.120  281 ELSSVTVEK 0.120 1008 ELRPKYGIK 0.120  866 VIVFYVQSR 0.120  579 GVQTPYLHL 0.120  325 PTTAPRTVK 0.100  378 PTDYQGEIK 0.100  165 KDLLQPSGK 0.090  967 IVLTGGFTW 0.090  878 KVLKAAEVA 0.090  806 VEVQPDPRK 0.090  598 QLKVTDSSR 0.080  879 VLKAAEVAR 0.080  656 VFYHWEHVR 0.080  975 WLCICCCKR 0.080 1040 IFSREKMER 0.080  831 EQRKDTLVR 0.072  845 LNVLDSDIK 0.060  685 QVGTYHFRL 0.060  958 YVTVLAFTL 0.060  429 RVNLPPVAV 0.060 1010 RPKYGIKHR 0.060  907 RVDTAGCLL 0.060  960 TVLAFTLIV 0.060   47 RVSHTFPVV 0.060  101 TFVLRPVQR 0.060  399 SVGLYVFKV 0.060  846 NVLDSDIKV 0.060  406 KVTVSSENA 0.060  839 RQLAVLLNV 0.054  115 DYGDMMLNR 0.048  169 QPSGKQEPR 0.040  908 VDTAGCLLK 0.040  483 SVDSPVLRL 0.040  224 TPAPKLPER 0.040  366 TTYNYEWNL 0.040  920 HGHCDPLTK 0.040  157 SDDYRELEK 0.040  655 IVFYHWEHV 6.040  977 CICCCKRQK 0.040  978 ICCCKRQKR 0.040  473 INGPFIEEK 0.040  816 GLVELTLQV 0.036  654 GIVFYHWEH 0.036  974 TWLCICCCK 0.030  398 LSVGLYVFK 0.030  481 KTSVDSPVL 0.030   97 RSYLTFVLR 0.024   68 DLAWWFEGR 0.024  401 GLYVFKVTV 0.024  683 GLQVGTYHF 0.024   44 RIMRVSHTF 0.024  826 VGQLTEQRK 0.020  889 LHMRLSKEK 0.020  382 QGEIKQGHK 0.020  980 CCKRQKRTK 0.020 1064 SFSYCSKDR 0.020  848 LDSDIKVQK 0.020  773 SVALQLTNL 0.020   84 HKENCEPKK 0.020  294 TVTPGSTEH 0.020  465 IVSYHWEEI 0.020  704 TSTLTVAVK 0.020  336 TVSAGDNLI 0.020  781 LVEGVYTFH 0.020  837 LVRQLAVLL 0.020  873 SRPPFKVLK 0.020  581 QTPYLHLSA 0.020  284 SVTVEKSPV 0.020  437 VVSPQLQEL 0.020  331 TVKELTVSA 0.020  351 EVELKAFVA 0.018

TABLE XIV-V2 HLA-A1101-9mers-254P1D68 Each peptide is a portion of SEQ ID NO: 5; each start position is specified, the length of peptide is 9 amino acids, and the end position for each peptide is the start position plus eight. Start Subsequence Score 9 ADDYRELEK 0.040 1 GLEEMSEYA 0.012 5 MSEYADDYR 0.004 4 EMSEYADDY 0.001 6 SEYADDYRE 0.000 8 YADDYRELE 0.000 7 EYADDYREL 0.000 2 LEEMSEYAD 0.000 3 EEMSEYADD 0.000

TABLE XIV-V3 HLA-A1101-9mers-254P1D68 Each peptide is a portion of SEQ ID NO: 7; each start position is specified, the length of peptide is 9 amino acids, and the end position for each peptide is the start position plus eight. Start Subsequence Score  6 WPSPCCARK 0.200  5 GWPSPCCAR 0 012  3 RLGWPSPCC 0 001  1 MTRLGWPSP 0 001  4 LGWPSPCCA 0 000 10 CCARKQCSE 0.000  8 SPCCARKQC 0.000  2 TRLGWPSPC 0.000  9 PCCARKQCS 0.000  7 PSPCCARKQ 0.000

TABLE XIV-V5 HLA-A1101-9mers-254P1D68 Each peptide is a portion of SEQ ID NO: 11; each start position is specified, the length of peptide is 9 amino acids, and the end position for each peptide is the start position plus eight. Start Subsequence Score 5 RKDLTFLGK 0.120 9 TFLGKDWGL 0.006 8 LTFLGKDWG 0.002 3 DIRKDLTFL 0.001 7 DLTFLGKDW 0.001 2 EDIRKDLTF 0.000 6 KDLTFLGKD 0.000 4 IRKDLTFLG 0.000 1 PEDIRKDLT 0.000

TABLE XV-V1 HLA-A1101-10mers-254P1D68 Each peptide is a portion of SEQ ID NO: 3; each start position is specified, the length of peptide is 10 amino acids, and the end position for each peptide is the start position plus nine. Start Subsequence Score  907 RVDTAGCLLK 12.000  825 GVGQLTEQRK  6.000  687 GTYHFRLTVK  6.000   14 LVTIAGCARK  2.000  805 TVEVQPDPRK  2.000  973 FTWLCICCCK  2.000  878 KVLKAAEVAR  1.800   76 RCYLVSCPKH  1.200  703 STSTLTVAVK  1.000  655 IVFYHWEHVR  0.800  667 SAVEMENIDK  0.600  865 TVIVFYVQSR  0.600  614 TVIVQPENNR  0.600  869 FYVQSRPPFK  0.600  481 KTSVDSPVLR  0.600  381 YQGEIKQGHK  0.600  100 LTFVLRPVQR  0.400  346 TLPDNEVELK  0.400  847 VLDSDIKVQK  0.400  419 FVNVTVKPAR  0.400  844 LLNVLDSDIK  0.400  241 TPSSGEVLEK  0.400  397 QLSVGLYVFK  0.400  895 KEKADFLLFK  0.360  934 HLWMENLIQR  0.320 1039 TIFSREKMER  0.320  804 ATVEVQPDPR  0 300  683 GLQVGTYHFR  0.240  888 NLHMRLSKEK  0.200  223 STPAPKLPER  0.200   82 CPHKENCEPK  0.200  324 SPTTAPRTVK  0.200  377 HPTDYQGEIK  0.200    6 GVLSSLLLLV  0.180  597 FQLKVTDSSR  0.180  983 RQKRTKIRKK  0.180  416 GEGFVNVTVK  0.180 1043 REKMERGNPK  0.180  919 GHGHCDPLTK  0.120  982 KRQKRTKIRK  0.120  472 EINGPFIEEK  0.120   13 LLVTIAGCAR  0.120  168 LQPSGKQEPR  0.120  280 LELSSVTVEK  0.090 1007 MELRPKYGIK  0.090  977 CICCCKRQKR  0.080   35 VISPNLETTR  0.080  493 NLDPGNYSFR  0.080  997 ILDNMDEQER  0.080  321 LPISPTTAPR  0.060  870 YVQSRPPFKV  0.060  257 QEQSSNSSGK  0.060  406 KVTVSSENAF  0.060  781 LVEGVYTFHL  0.060  960 TVLAFTLIVL  0.060  429 RVNLPPVAVV  0.060  591 QEGDYTFQLK  0.060  219 NESASTPAPK  0.060  729 LVLPNNSITL  0.060  330 RTVKELTVSA  0.045  575 VVMQGVQTPY  0.040  130 WGDSPEDIRK  0.040   20 CARKQCSEGR  0.040  137 IRKDLPFLGK  0.040  886 ARNLHMRLSK  0.040  286 TVEKSPVLTV  0.040  717 SPPRARAGGR  0.040  156 YSDDYRELEK  0.040  336 TVSAGDNLII  0.040  386 KQGHKQTLNL  0.036  624 PPVAVAGPDK  0.036  976 LCICCCKRQK  0.030  564 WSLGPGSEGK  0.030  985 KRTKIRKKTK  0.030  992 KTKYTILDNM  0.030  959 VTVLAFTLIV  0.030  967 IVLTGGFTWL  0.030  986 RTKIRKKTKY  0.030  391 QTLNLSQLSV  0.030  436 AVVSPQLQEL  0.030  539 ITLPQNSITL  0.030  727 HVLVLPNNSI  0.030  684 LQVGTYHFRL  0.027  839 RQLAVLLNVL  0.027 1006 RMELRPKYGI  0.024  830 TEQRKDTLVR  0.024  152 EMSEYSDDYR  0 024  988 KIRKKTKYTI  0.024  700 GLSSTSTLTV  0.024  128 GIWGDSPEDI  0.024  979 CCCKRQKRTK  0.024  423 TVKPARRVNL  0.020  958 YVTVLAFTLI  0.020  680 TVTGLQVGTY  0.020  366 TTYNYEWNLI  0.020 1061 NGASFSYCSK  0.020 1019 STEHNSSLMV  0.020  284 SVTVEKSPVL  0.020  872 QSRPPFKVLK  0.020  524 AVDYPPVANA  0.020

TABLE XV-V2 HLA-A1101-10mers-254P1D68 Each peptide is a portion of SEQ ID NO: 5; each start position is specified, the length of peptide is 10 amino acids, and the end position for each peptide is the start position plus nine. Start Subsequence Score  9 YADDYRELEK 0.400  5 EMSEYADDYR 0.024  2 GLEEMSEYAD 0.002  4 EEMSEYADDY 0.000  1 WGLEEMSEYA 0.000  8 EYADDYRELE 0.000  7 SEYADDYREL 0.000  3 LEEMSEYADD 0.000  6 MSEYADDYRE 0.000 10 ADDYRELEKD 0.000

TABLE XV-V3 HLA-A1101-10mers-254P1D68 Each peptide is a portion of SEQ ID NO: 7; each start position is specified, the length of peptide is 10 amino acids, and the end position for each peptide is the start position plus nine. Start Subsequence Score  5 GWPSPCCARK 0.060  3 RLGWPSPCCA 0.012  4 LGWPSPCCAR 0.008  1 MTRLGWPSPC 0.001 10 CCARKQCSEG 0.000  8 SPCCARKQCS 0.000  2 TRLGWPSPCC 0.000  6 WPSPCCARKQ 0.000  9 PCCARKQCSE 0.000  7 PSPCCARKQC 0.000

TABLE XV-V5 HLA-A1101-10mers-254P1D68 Each peptide is a portion of SEQ ID NO: 11; each start position is specified, the length of peptide is 10 amino acids, and the end position for each peptide is the start position plus nine. Start Subsequence Score  9 LTFLGKDWGL 0.040  5 IRKDLTFLGK 0.040  7 KDLTFLGKDW 0.000  4 DIRKDLTFLG 0.000 10 TFLGKDWGLE 0.000  1 SPEDIRKDLT 0.000  8 DLTFLGKDWG 0.000  2 PEDIRKDLTF 0.000  3 EDIRKDLTFL 0.000  6 RKDLTFLGKD 0.000

TABLE XVI-V1 HLA-A24-9mers-254P1D68 Each peptide is a portion of SEQ ID NO: 3; each start position is specified, the length of peptide is 9 amino acids, and the end position for each peptide is the start position plus eight. Start Subsequence Score  159 DYRELEKDL 288.000  155 EYSDDYREL 264.000  869 FYVQSRPPF 150.000  367 TYNYEWNLI 90.000  636 IFPVESATL 30.000  943 RYIWDGESN 15.000  228 KLPERSVLL 14.400   92 KMGPIRSYL 13.440  881 KAAEVARNL 13.440  676 KAIATVTGL 12.000  105 RPVQRPAQL 12.000  814 KSGLVELTL 11.200  957 FYVTVLAFT 10.500  133 SPEDIRKDL 10.080  956 IFYVTVLAF 10.000 1012 KYGIKHRST 10.000 1018 RSTEHNSSL 9.600  441 QLQELTLPL 8.640  445 LTLPLTSAL 8.640   44 RIMRVSHTF 8.400  481 KTSVDSPVL 8.000  390 KQTLNLSQL 8.000  907 RVDTAGCLL 8.000  274 SLPPASLEL 7.920  346 TLPDNEVEL 7.920  216 HYLNESAST 7.500  402 LYVFKVTVS 7.500  693 LTVKDQQGL 7.200  285 VTVEKSPVL 7.200  327 TAPRTVKEL 6.600  437 VVSPQLQEL 6.336  836 TLVRQLAVL 6.000  439 SPQLQELTL 6.000    6 GVLSSLLLL 6.000  829 LTEQRKDTL 6.000  540 TLPQNSITL 6.000  821 TLQVGVGQL 6.000  730 VLPNNSITL 6.000  579 GVQTPYLHL 6.000  486 SPVLRLSNL 6.000  954 WSIFYVTVL 6.000  240 TTPSSGEVL 6.000  511 ATNSTTAAL 6.000  533 AGPNHTITL 6.000  179 SAEYTDWGL 6.000  558 QIVLYEWSL 6.000  267 EVLMPSHSL 6.000  335 LTVSAGDNL 6.000  699 QGLSSTSTL 6.000    5 TGVLSSLLL 6.000  840 QLAVLLNVL 5.760  872 QSRPPFKVL 5.760   32 SNAVISPNL 5.600  469 HWEEINGPF 5.040 1032 EFDSDQDTI 5.000  594 DYTFQLKVT 5.000  498 NYSFRLTVT 5.000  785 VYTFHLRVT 5.000  885 VARNLHMRL 4.800   71 WWFEGRCYL 4.800  893 LSKEKADFL 4.800  968 VLTGGFTWL 4.800  553 SSDDHQIVL 4.800  809 QPDPRKSGL 4.800  837 LVRQLAVLL 4.800  210 QQDPELHYL 4.800  339 AGDNLIITL 4.800  394 NLSQLSVGL 4.800  768 DGSDHSVAL 4.800  958 YVTVLAFTL 4.800  627 AVAGPDKEL 4.400  221 SASTPAPKL 4.400  113 LLDYGDMML 4.000  685 QVGTYHFRL 4.000  261 SNSSGKEVL 4.000  773 SVALQLTNL 4.000  387 QGHKQTLNL 4.000   56 DCTAACCDL 4.000  918 SGHGHCDPL 4.000  577 MQGVQTPYL 4.000  483 SVDSPVLRL 4.000  366 TTYNYEWNL 4.000  932 CSHLWMENL 4.000  961 VLAFTLIVL 4.000   61 CCDLSSCDL 4.000  495 DPGNYSFRL 4.000  136 DIRKDLPFL 4.000  892 RLSKEKADF 4.000  723 AGGRHVLVL 4.000  589 AMQEGDYTF 3.600  629 AGPDKELIF 3.600  780 NLVEGVYTF 3.600  407 VTVSSENAF 3.600  965 TLIVLTGGF 3.600 1025 SLMVSESEF 3.300  142 PFLGKDWGL 3.000 1057 GSIRNGASF 3.000  683 GLQVGTYHF 3.000  187 LLPGSEGAF 3.000  349 DNEVELKAF 3.000

TABLE XVI-V2 HLA-A24-9mers-254P1D68 Each peptide is a portion of SEQ ID NO: 5; each start position is specified, the length of peptide is 9 amino acids, and the end position for each peptide is the start position plus eight. Start Subsequence Score 7 EYADDYREL 264.000 1 GLEEMSEYA 0.180 4 EMSEYADDY 0.120 5 MSEYADDYR 0.015 8 YADDYRELE 0.012 3 EEMSEYADD 0.002 2 LEEMSEYAD 0.002 9 ADDYRELEK 0.001 6 SEYADDYRE 0.001

TABLE XVI-V3 HLA-A24-9mers-254P1D68 Each peptide is a portion of SEQ ID NO: 7; each start position is specified, the length of peptide is 9 amino acids, and the end position for each peptide is the start position plus eight. Start Subsequence Score  3 RLGWPSPCC 0.200  4 LGWPSPCCA 0.120  8 SPCCARKQC 0.100  5 GWPSPCCAR 0.015  2 TRLGWPSPC 0.015  6 WPSPCCARK 0.012  9 PCCARKQCS 0.012 10 CCARKQCSE 0.010  1 MTRLGWPSP 0.010  7 PSPCCARKQ 0.002

TABLE XVI-V5 HLA-A24-9mers-254P1D68 Each peptide is a portion of SEQ ID NO: 11; each start position is specified, the length of peptide is 9 amino acids, and the end position for each peptide is the start position plus eight. Start Subsequence Score 9 TFLGKDWGL 30.000 3 DIRKDLTFL 4.000 2 EDIRKDLTF 0.300 7 DLTFLGKDW 0.120 8 LTFLGKDWG 0.010 6 KDLTFLGKD 0.003 5 RKDLTFLGK 0.002 4 IRKDLTFLG 0.001 1 PEDIRKDLT 0.001

TABLE XVII-V1 HLA-A24-10mers-254P1D68 Each peptide is a portion of SEQ ID NO: 3; each start position is specified, the length of peptide is 10 amino acids, and the end position for each peptide is the start position plus nine. Start Subsequence Score  957 FYVTVLAFTL 360.000  159 DYRELEKDLL 240.000  839 RQLAVLLNVL 17.280  943 RYIWDGESNC 15.000  105 RPVQRPAQLL 14.400  897 KADFLLFKVL 11.520  402 LYVFKVTVSS 10.500   98 SYLTFVLRPV 10.500  132 DSPEDIRKDL 10.080  868 VFYVQSRPPF 10.000 1032 EFDSDQDTIF 10.000  692 RLTVKDQQGL 9.600  561 LYEWSLGPGS 9.000  229 LPERSVLLPL 8.400   31 YSNAVISPNL 8.400    2 APPTGVLSSL 8.400  892 RLSKEKADFL 8.000  720 RARAGGRHVL 8.000  386 KQGHKQTLNL 8.000  722 RAGGRHVLVL 8.000  436 AVVSPQLQEL 7.920  273 HSLPPASLEL 7.920  345 ITLPDNEVEL 7.920  367 TYNYEWNLIS 7.500  751 SYLWIRDGQS 7.500  482 TSVDSPVLRL 7.200  539 ITLPQNSITL 7.200  209 TQQDPELHYL 7.200  967 IVLTGGFTWL 7.200  836 TLVRQLAVLL 7.200  393 LNLSQLSVGL 7.200  729 LVLPNNSITL 7.200  808 VQPDPRKSGL 7.200  112 QLLDYGDMML 7.200   30 TYSNAVISPN 7.000  626 VAVAGPDKEL 6.600  557 HQIVLYEWSL 6.000  684 LQVGTYHFRL 6.000  835 DTLVRQLAVL 6.000  590 MQEGDYTFQL 6.000  438 VSPQLQELTL 6.000  247 VLEKEKASQL 6.000  820 LTLQVGVGQL 6.000  260 SSNSSGKEVL 6.000  576 VMQGVQTPYL 6.000  179 SAEYTDWGLL 6.000  485 DSPVLRLSNL 6.000    5 TGVLSSLLLL 6.000  960 TVLAFTLIVL 6.000  781 LVEGVYTFHL 6.000  578 QGVQTPYLHL 6.000  772 HSVALQLTNL 6.000  338 SAGDNLIITL 5.760  769 GSDHSVALQL 5.600  926 LTKRCICSHL 5.600  326 TTAPRTVKEL 5.280 1000 NMDEQERMEL 5.280  312 APSESTPSEL 5.280  893 LSKEKADFLL 4.800   60 ACCDLSSCDL 4.800  635 LIFPVESATL 4.800  406 KVTVSSENAF 4.800  423 TVKPARRVNL 4.800  444 ELTLPLTSAL 4.800  828 QLTEQRKDTL 4.800  884 EVARNLHMRL 4.800  384 EIKQGHKQTL 4.800  532 NAGPNHTITL 4.800  552 QSSDDHQIVL 4.800  871 VQSRPPFKVL 4.800  178 GSAEYTDWGL 4.800  220 ESASTPAPKL 4.400  811 DPRKSGTVEL 4.400  905 VLRVDTAGCL 4.000  141 LPFLGKDWGL 4.000  284 SVTVEKSPVL 4.000  510 GATNSTTAAL 4.000  698 QQGLSSTSTL 4.000  334 ELTVSAGDNL 4.000  854 VQKIRAHSDL 4.000  917 CSGHGHCDPL 4.000  931 ICSHLWMENL 4.000  365 ETTYNYEWNL 4.000  953 EWSIFYVTVL 4.000  226 APKLPERSVL 4.000   70 AWWFEGRCYL 4.000  186 GLLPGSEGAF 3.600  964 FTLIVLTGGF 3.600  492 SNLDPGNYSF 3.600 1024 SSLMVSESEF 3.300 1006 RMELRPKYGI 3.000  779 TNLVEGVYTF 3.000  682 TGLQVGTYHF 3.000  588 SAMQEGDYTF 3.000   93 MGPIRSYLTF 3.000  410 SSENAFGEGF 3.000  396 SQLSVGLYVF 3.000  648 SSSDDHGIVF 2.400   64 LSSCDLAWWF 2.400  858 RAHSDLSTVI 2.400

TABLE XVII-V2 HLA-A24-10mers-254P1D68 Each peptide is a portion of SEQ ID NO: 5; each start position is specified, the length of peptide is 10 amino acids, and the end position for each peptide is the start position plus nine. Start Subsequence Score  8 EYADDYRELE 0.600  7 SEYADDYREL 0.440  1 WGLEEMSEYA 0.180  2 GLEEMSEYAD 0.018  6 MSEYADDYRE 0.015  4 EEMSEYADDY 0.015  9 YADDYRELEK 0.013  5 EMSEYADDYR 0.012  3 LEEMSEYADD 0.002 10 ADDYRELEKD 0.001

TABLE XVII-V3 HLA-A24-10mers-254P1D68 Each peptide is a portion of SEQ ID NO: 7; each start position is specified, the length of peptide is 10 amino acids, and the end position for each peptide is the start position plus nine. Start Subsequence Score  3 RLGWPSPCCA 0.200  8 SPCCARKQCS 0.120  1 MTRLGWPSPC 0.100  7 PSPCCARKQC 0.015  5 GWPSPCCARK 0.015  2 TRLGWPSPCC 0.015  6 WPSPCCARKQ 0.013  4 LGWPSPCCAR 0.012 10 CCARKQCSEG 0.011  9 PCCARKQCSE 0.001

TABLE XVII-V5 HLA-A24-10mers-254P1D68 Each peptide is a portion of SEQ ID NO: 11; each start position is specified, the length of peptide is 10 amino acids and the end position for each peptide is the start position plus nine. Start Subsequence Score  9 LTFLGKDWGL 4.000  3 EDIRKDLTFL 0.600  1 SPEDIRKDLT 0.180 10 TFLGKDWGLE 0.075  7 KDLTFLGKDW 0.036  2 PEDIRKDLTF 0.020  4 DIRKDLTFLG 0.012  8 DLTFLGKDWG 0.010  6 RKDLTFLGKD 0.002  5 IRKDLTFLGK 0.001

TABLE XVIII-V1 HLA-B7-9mers-254P1D68 Each peptide is a portion of SEQ ID NO: 3; each start position is specified, the length of peptide is 9 amino acids, and the end position for each peptide is the start position plus eight. Start Subsequence Score  837 LVRQLAVLL 200.000  885 VARNLHMRL 120.000  627 AVAGPDKEL 90.000  105 RPVQRPAQL 80.000  486 SPVLRLSNL 80.000  495 DPGNYSFRL 80.000  439 SPQLQELTL 80.000  872 QSRPPFKVL 60.000  328 APRTVKELT 60.000  136 DIRKDLPFL 40.000  133 SPEDIRKDL 36.000  267 EVLMPSHSL 30.000  579 GVQTPYLHL 30.000  809 QPDPRKSGL 24.000  437 VVSPQLQEL 20.000  685 QVGTYHFRL 20.000  773 SVALQLTNL 20.000  175 EPRGSAEYT 20.000    6 GVLSSLLLL 20.000  958 YVTVLAFTL 20.000  582 TPYLHLSAM 20.000  226 APKLPERSV 18.000  221 SASTPAPKL 18.000  533 AGPNHTITL 12.000  327 TAPRTVKEL 12.000  676 KAIATVTGL 12.000  881 KAAEVARNL 12.000  723 AGGRHVLVL 12.000  511 ATNSTTAAL 12.000  359 APAPPVETT 9.000  483 SVDSPVLRL 9.000    3 PPTGVLSSL 8.000  296 TPGSTEHSI 8.000   37 SPNLETTRI 8.000  377 HPTDYQGEI 8.000   92 KMGPIRSYL 6.000  720 RARAGGRHV 6.000  907 RVDTAGCLL 6.000 1018 RSTEHNSSL 4.000  346 TLPDNEVEL 4.000   32 SNAVISPNL 4.000  954 WSIFYVTVL 4.000  324 SPTTAPRTV 4.000  821 TLQVGVGQL 4.000  540 TLPQNSITL 4.000  918 SGHGHCDPL 4.000  927 TKRCICSHL 4.000  121 LNRGSPSGI 4.000  814 KSGLVELTL 4.000  240 TTPSSGEVL 4.000  699 QGLSSTSTL 4.000  968 VLTGGFTWL 4.000   56 DCTAACCDL 4.000  445 LTLPLTSAL 4.000  932 CSHLWMENL 4.000  558 QIVLYEWSL 4.000  274 SLPPASLEL 4.000  961 VLAFTLIVL 4.000  390 KQTLNLSQL 4.000  768 DGSDHSVAL 4.000  893 LSKEKADFL 4.000  577 MQGVQTPYL 4.000  730 VLPNNSITL 4.000  228 KLPERSVLL 4.000  285 VTVEKSPVL 4.000  366 TTYNYEWNL 4.000  335 LTVSAGDNL 4.000  693 LTVKDQQGL 4.000  840 QLAVLLNVL 4.000  159 DYRELEKDL 4.000  567 GPGSEGKHV 4.000  836 TLVRQLAVL 4.000    5 TGVLSSLLL 4.000  387 QGHKQTLNL 4.000  261 SNSSGKEVL 4.000  481 KTSVDSPVL 4.000  441 QLQELTLPL 4.000  394 NLSQLSVGL 4.000  179 SAEYTDWGL 3.600  339 AGDNLIITL 3.600  999 DNMDEQERM 3.000  106 PVQRPAQLL 3.000  304 IPTPPTSAA 3.000  924 DPLTKRCIC 3.000  111 AQLLDYGDM 3.000   34 AVISPNLET 2.250  434 PVAVVSPQL 2.000  270 MPSHSLPPA 2.000  811 DPRKSGLVE 2.000  336 TVSAGDNLI 2.000  465 IVSYHWEEI 2.000  874 RPPFKVLKA 2.000  604 SSRQQSTAV 2.000   27 EGRTYSNAV 2.000   52 FPVVDCTAA 2.000  721 ARAGGRHVL 1.800  531 ANAGPNHTI 1.800  618 QPENNRPPV 1.800  517 AALIVNNAV 1.800  621 NNRPPVAVA 1.500

TABLE XVIII-V2 HLA-B7-9mers-254P1D68 Each peptide is a portion of SEQ ID NO: 5; each start position is specified, the length of peptide is 9 amino acids, and the end position for each peptide is the start position plus eight. Start Subsequence Score 7 EYADDYREL 0.400 1 GLEEMSEYA 0.030 4 EMSEYADDY 0.020 8 YADDYRELE 0.013 3 EEMSEYADD 0.003 5 MSEYADDYR 0.003 6 SEYADDYRE 0.001 9 ADDYRELEK 0.001 2 LEEMSEYAD 0.000

TABLE XVIII-V3 HLA-B7-9mers-254P1D68 Each peptide is a portion of SEQ ID NO: 7; each start position is specified, the length of peptide is 9 amino acids, and the end position for each peptide is the start position plus eight. Start Subsequence Score  8 SPCCARKQC 3.000  6 WPSPCCARK 0.200  3 RLGWPSPCC 0.150  1 MTRLGWPSP 0.100  4 LGWPSPCCA 0.100 10 CCARKQCSE 0.010  2 TRLGWPSPC 0.010  9 PCCARKQCS 0.002  5 GWPSPCCAR 0.002  7 PSPCCARKQ 0.001

TABLE XVIII-V5 HLA-B7-9mers-254P D68 Each peptide is a portion of SEQ ID NO: 11; each start position is specified, the length of peptide is 9 amino acids, and the end position for each peptide is the start position plus eight. Start Subsequence Score  3 DIRKDLTFL 40.00  9 TFLGKDWGL 0.400  7 DLTFLGKDW 0.020  8 LTFLGKDWG 0.010  2 EDIRKDLTF 0.002  4 IRKDLTFLG 0.001  6 KDLTFLGKD 0.001  1 PEDIRKDLT 0.000  5 RKDLTFLGK 0.000

TABLE XIX-V1 HLA-B7-10mers-254P1D68 Each peptide is a portion of SEQ ID NO: 3; each start position is specified, the length of peptide is 10 amino acids, and the end position for each peptide is the start position plus nine. Start Subsequence Score  811 DPRKSGLVEL 800.000  226 APSESTPSEL 360.000  312 APPTGVLSSL 240.000    2 APPTGVLSSL 240.000  720 RARAGGRHVL 180.000  105 RPVQRPAQLL 120.000  328 APRTVKELTV 120.000  141 LPFLGKDWGL 80.000  436 AVVSPQLQEL 60.000  662 HVRGPSAVEM 50.000  905 VLRVDTAGCL 40.000  423 TVKPARRVNL 30.000  229 LPERSVLLPL 24.000   37 SPNLETTRIM 20.000  284 SVTVEKSPVL 20.000  967 IVLTGGFTWL 20.000  960 TVLAFTLIVL 20.000  729 LVLPNNSITL 20.000  884 EVARNLHMRL 20.000  626 VAVAGPDKEL 18.000  338 SAGDNLIITL 12.000  722 RAGGRHVLVL 12.000   60 ACCDLSSCDL 12.000  510 GATNSTTAAL 12.000  532 NAGPNHTITL 12.000  665 GPSAVEMENI 8.000 1050 NPKVSMNGSI 8.000    3 PPTGVLSSLL 8.000  433 PPVAVVSPQL 8.000  781 LVEGVYTFHL 6.000  871 VQSRPPFKVL 6.000  578 QGVQTPYLHL 6.00  627 AVAGPDKELI 6.000  220 ESASTPAPKL 6.000  482 TSVDSPVLRL 6.000  132 DSPEDIRKDL 6.000  892 RLSKEKADFL 4.000  260 SSNSSGKEVL 4.000  828 QLTEQRKDTL 4.000  384 EIKQGHKQTL 4.000  159 DYRELEKDLL 4.000  917 CSGHGHCDPL 4.000  438 VSPQLQELTL 4.000  485 DSPVLRLSNL 4.000  893 LSKEKADFLL 4.000   27 EGRTYSNAVI 4.000  326 TTAPRTVKEL 4.000  698 QQGLSSTSTL 4.000  393 LNLSQLSVGL 4.000  365 ETTYNYEWNL 4.000  238 LPTTPSSGEV 4.000  386 KQGHKQTLNL 4.000   95 PIRSYLTFVL 4.00  835 DTLVRQLAVL 4.000  820 LTLQVGVGQL 4.000   31 YSNAVISPNL 4.000  926 LTKRCICSHL 4.000  539 ITLPQNSITL 4.000  692 RLTVKDQQGL 4.000    5 TGVLSSLLLL 4.000  635 LIFPVESATL 4.000  557 HQIVLYEWSL 4.000  854 VQKIRAHSDL 4.000  836 TLVRQLAVLL 4.000  552 QSSDDHQIVL 4.000  740 GSRSTDDQRI 4.000  475 GPFIEEKTSV 4.000  112 QLLDYGDMML 4.000  345 ITLPDNEVEL 4.000  334 ELTVSAGDNL 4.000  273 HSLPPASLEL 4.000  988 KIRKKTKYTI 4.000  746 DQRIVSYLWI 4.000  444 ELTLPLTSAL 4.00  576 VMQGVQTPYL 4.000  684 LQVGTYHFRL 4.000  772 HSVALQLTNL 4.000  839 RQLAVLLNVL 4.000  567 GPGSEGKHVV 4.000  931 ICSHLWMENL 4.000  209 TQQDPELHYL 4.000  178 GSAEYTDWGL 4.000  808 VQPDPRKSGL 4.000   94 GPIRSYLTFV 4.000  897 KADFLLFKVL 3.600  179 SAEYTDWGLL 3.600  111 AQLLDYGDMM 3.000  317 TPSELPISPT 3.000  727 HVLVLPNNSI 3.000  882 AAEVARNLHM 2.700  175 EPRGSAEYTD 2.000   52 FPVVDCTAAC 2.000  336 TVSAGDNLII 2.000   45 IMRVSHTFPV 2.000  495 DPGNYSFRLT 2.0  874 RPPFKVLKAA 2.000  958 YVTVLAFTLI 2.000  604 SSRQQSTAVV 2.000   70 AWWFEGRCYL 1.800   91 KKMGPIRSYL 1.800

TABLE XIX-V2 HLA-B7-10mers-254P1D68 Each peptide is a portion of SEQ ID NO: 5; each start position is specified, the length of peptide is 10 amino acids, and the end position for each peptide is the start position plus nine. Start Subsequence Score  7 SEYADDYREL 0.400  1 WGLEEMSEYA 0.100  5 EMSEYADDYR 0.010  9 YADDYRELEK 0.009  4 EEMSEYADDY 0.006  2 GLEEMSEYAD 0.003  6 MSEYADDYRE 0.003  8 EYADDYRELE 0.002 10 ADDYRELEKD 0.001  3 LEEMSEYADD 0.000

TABLE XIX-V3 HLA-B7-10mers-254P1D68 Each peptide is a portion of SEQ ID NO: 7; each start position is specified, the length of peptide is 10 amino acids, and the end position for each peptide is the start position plus nine. Start Subsequence Score  1 MTRLGWPSPC 1.000  8 SPCCARKQCS 0.400  6 WPSPCCARKQ 0.200  3 RLGWPSPCCA 0.100  7 PSPCCARKQC 0.015  2 TRLGWPSPCC 0.015  4 LGWPSPCCAR 0.015 10 CCARKQCSEG 0.010  9 PCCARKQCSE 0.001  5 GWPSPCCARK 0.001

TABLE XIX-V5 HLA-B7-10mers-254P1D68 Each peptide is a portion of SEQ ID NO: 11; each start position is specified, the length of peptide is 10 amino acids, and the end position for each peptide is the start position plus nine. Start Subsequence Score  9 LTFLGKDWGL 4.000  1 SPEDIRKDLT 0.600  3 EDIRKDLTFL 0.400  4 DIRKDLTFLG 0.100  8 DLTFLGKDWG 0.01  7 KDLTFLGKDW 0.002 10 TFLGKDWGLE 0.001  5 IRKDLTFLGK 0.001  6 RKDLTFLGKD 0.000  2 PEDIRKDLTF 0.000

TABLE XX-V1 HLA-B3501-9mers-254P1D68 Each peptide is a portion of SEQ ID NO: 3; each start position is specified, the length of peptide is 9 amino acids, and the end position for each peptide is the start position plus eight. Start Subsequence Score  105 RPVQRPAQL 40.000  582 TPYLHLSAM 40.000  893 LSKEKADFL 30.000 1018 RSTEHNSSL 20.000   94 GPIRSYLTF 20.000  495 DPGNYSFRL 20.000  439 SPQLQELTL 20.000  486 SPVLRLSNL 20.000  377 HPTDYQGEI 16.000  491 LSNLDPGNY 15.000  872 QSRPPFKVL 15.0  133 SPEDIRKDL 12.000  226 APKLPERSV 12.000  881 KAAEVARNL 12.000   37 SPNLETTRI 12.000  587 LSAMQEGDY 10.000  814 KSGLVELTL 10.000  262 NSSGKEVLM 10.000   65 SSCDLAWWF 10.000  395 LSQLSVGLY 10.000  885 VARNLHMRL 9.000  296 TPGSTEHSI 8.000  362 PPVETTYNY 8.000  949 ESNCEWSIF 7.500  742 RSTDDQRIV 6.000  999 DNMDEQERM 6.000  148 WGLEEMSEY 6.000  676 KAIATVTGL 6.000   23 KQCSEGRTY 6.000  567 GPGSEGRTY 6.000  175 EPRGSAEYT 6.000  809 QPDPRKSGL 6.000 1050 NPKVSMNGS 6.000  328 APRTVKELT 6.000  932 CSHLWMENL 5.000 1057 GSIRNGASF 5.000  954 WSIFYVTVL 5.000  136 DIRKDLPFL 4.500  228 KLPERSVLL 4.000  929 RCICSHLWM 4.000  874 RPPFKVLKA 4.000  112 QLLDYGDMM 4.000  950 SNCEWSIFY 4.000  209 TQQDPELHY 4.000  152 EMSEYSDDY 4.000  324 SPTTAPRTV 4.000   64 LSSCDLAWW 3.750  720 RARAGGRHV 3.600  327 TAPRTVKEL 3.000  649 SSDDHGIVF 3.000  552 QSSDDHQIV 3.000  221 SASTPAPKL 3.000   52 FPVVDCTAA 3.000  337 VSAGDNLII 3.000  604 SSRQQSTAV 3.000  647 SSSSDDHGI 3.000  475 GPFIEEKTS 3.000  569 GSEGKHVVM 3.000  361 APPVETTYN 3.000  188 LPGSEGAFN 3.000  553 SSDDHQIVL 3.000  648 SSSDDHGIV 3.000  892 RLSKEKADF 3.000  111 AQLLDYGDM 3.000  481 KTSVDSPVL 3.000  837 LVRQLAVLL 3.000  458 QSTDDTEIV 3.000  759 QSPAAGDVI 2.000  780 NLVEGVYTF 2.000  346 TLPDNEVEL 2.000  681 VTGLQVGTY 2.000  304 IPTPPTSAA 2.000  541 LPQNSITLN 2.000  125 SPSGIWGDS 2.000  275 LPPASLELS 2.000  862 DLSTVIVFY 2.000  236 LPLPTTPSS 2.000  373 NLISHPTDY 2.000  665 GPSAVEMEN 2.000    9 SSLLLLVTI 2.000  270 MPSHSLPPA 2.000  441 QLQELTLPL 2.000  589 AMQEGDYTF 2.000  576 VMQGVQTPY 2.000  519 LIVNNAVDY 2.000  924 DPLTKRCIC 2.000  629 AGPDKELIF 2.000  359 APAPPVETT 2.000  778 LTNLVEGVY 2.000    3 PPTGVLSSL 2.000  608 QSTAVVTVI 2.000  306 TPPTSAAPS 2.000  285 VTVEKSPVL 2.000  315 ESTPSELPI 2.000   44 RIVRVSHTF 2.000    2 APPTGVLSS 2.000  390 KQTLNLSQL 2.000 1038 DTIFSREKM 2.000   92 KMGPIRSYL 2.000  768 DGSDHSVAL 2.000

TABLE XX-V2 HLA-B3501-9mers-254P1D68 Each peptide is a portion of SEQ ID NO: 5; each start position is specified, the length of peptide is 9 amino acids, and the end position for each peptide is the start position plus eight. Start Subsequence Score 4 EMSEYADDY 4.000 7 EYADDYREL 0.300 1 GLEEMSEYA 0.060 8 YADDYRELE 0.018 5 MSEYADDYR 0.015 6 SEYADDYRE 0.002 3 EEMSEYADD 0.002 2 LEEMSEYAD 0.000 9 ADDYRELEK 0.000

TABLE XX-V3 HLA-B3501-9mers-254P1D68 Each peptide is a portion of SEQ ID NO: 7; each start position is specified, the length of peptide is 9 amino acids, and the end position for each peptide is the start position plus eight. Start Subsequence Score  8 SPCCARKQC 2.000  3 RLGWPSPCC 0.200  6 WPSPCCARK 0.200  4 LGWPSPCCA 0.100  1 MTRLGWPSP 0.030 10 CCARKQCSE 0.010  9 PCCARKQCS 0.010  2 TRLGWPSPC 0.010  7 PSPCCARKQ 0.005  5 GWPSPCCAR 0.001

TABLE XX-V5 HLA-B3501-9mers-254P1D68 Each peptide is a portion of SEQ ID NO: 11; each start position is specified, the length of peptide is 9 amino acids, and the end position for each peptide is the start position plus eight. Start Subsequence Score 3 DIRKDLTFL 4.500 7 DLTFLGKDW 0.500 9 TFLGKDWGL 0.100 2 EDIRKDLTF 0.100 8 LTFLGKDWG 0.010 4 IRKDLTFLG 0.006 6 KDLTFLGKD 0.002 5 RKDLTFLGK 0.001 1 PEDIRKDLT 0.000

TABLE XXI-V1 HLA-B3501-10mers-254P1D68 Each peptide is a portion of SEQ ID NO: 3; each start position is specified, the length of peptide is 10 amino acids, and the end position for each peptide is the start position plus nine. Start Subsequence Score  226 APKLPERSVL 90.000  811 DPRKSGLVEL 60.000  361 APPVETTYNY 40.000  312 APSESTPSEL 40.000 1018 RSTEHNSSLM 40.000  359 APAPPVETTY 40.000   37 SPNLETTRIM 40.000  105 RPVQRPAQLL 40.000  893 LSKEKSDFLL 30.000 1050 NPKVSMNGSI 24.000  141 LPFLGKDWGL 20.000    2 APPTGVLSSL 20.000  720 RARAGGRHVL 18.00  986 RTKIRKKTKY 12.000 1010 RRKYGIKHRS 12.000  992 KTKYTIKDNM 12.000  144 LGKDWGLEEM 12.000  665 GPSAVEMENI 12.000  328 APRTVKELTV 12.000  552 QSSDDHQIVL 10.000  648 SSSDDHGIVF 10.000  132 DSPEDIRKDL 10.000  178 GSAEYTDWGL 10.000  482 TSVDSPVLRL 10.000  949 ESNCEWSIFY 10.000   69 LAWWFEGRCY 9.000  740 GSRSTDDQRI 9.000  553 SSDDHQIVLY 6.000  649 SSDDHGIVFY 6.000  475 GPFIEEKTSV 6.000   89 EPKKMGPIRS 6.000  490 RLSNLDPGNY 6.000  722 RAGGRHVLVL 6.000 1058 SIRNGASFSY 6.000  107 VQRPAQLLDY 6.000  338 SAGDNLIITL 6.000  229 LPERSVLLPL 6.000  662 HVRGPSAVEM 6.000  485 DSPVLRLSNL 5.000  260 SSNSSGKEVL 5.000   31 YSNAVISPNL 5.000 1024 SSLMVSESEF 5.000   64 LSSCDLAWWF 5.000  917 CSGHGHCDPL 5.000  220 ESASTPAPKL 5.000  772 HSVALQLTNL 5.000  273 HSLPPASLEL 5.000  438 VSPQLQELTL 5.000  567 GPGSEGKHVV 4.000   94 GPIRSYLTFV 4.000  238 LPTTPSSGEV 4.000  317 TPSELPISPT 4.000  874 RPPFKVLKAA 4.000  646 GSSSSDDHGI 3.000  628 VAGPDKELIF 3.000  510 GATNSTTAAL 3.000  209 TQQDPELHYL 3.000  905 VLRVDTAGCL 3.000  456 GSQSTDDTEI 3.000  692 RLTVKDQQGL 3.000  854 VQKIRAHSDL 3.000   36 ISPNLETTRI 3.000  588 SAMQEGDYTF 3.000  926 LTKRCICSHL 3.000  423 TVKPARRVNL 3.000 1041 FSREKMERGN 3.000  604 SSRQQSTAVV 3.000  532 NAGPNHTITL 3.000  384 EIKQGHKQTL 3.000  626 VAVAGPDKEL 3.000  858 RAHSDLSTVI 2.400  988 KIRKKTKYTI 2.400  892 RLSKEKADFL 2.000  208 ETQQDPELHY 2.000  495 DPGNYSFRLT 2.000  188 LPGSEGAFNS 2.000  278 ASLELSSVTV 2.000  270 MPSHSLPPAS 2.000  372 WNLISHPTDY 2.000  777 QLTNLVEGVY 2.000  581 QTPYLHLSAM 2.000  828 QLTEQRKDTL 2.000  808 VQPDPRKSGL 2.000  275 LPPASLELSS 2.000    3 PPTGVLSSLL 2.000  924 DPLTKRCICS 2.000  680 TVTGLQVGTY 2.000  575 VVMQGVQTPY 2.000  492 SNLDPGNYSF 2.000  386 KQGHKQTLNL 2.000   52 FPVVDCTAAC 2.000  112 QLLDYGDMML 2.000  111 AQLLDYGDMM 2.000  433 PPVAVVSPQL 2.000  290 SPVLTVTPGS 2.000  527 YPPVANAGPN 2.000  586 HLSAMQEGDY 2.000  742 RSTDDQRIVS 2.000  224 TPAPKLPERS 2.000    8 LSSLLLLVTI 2.000

TABLE XXI V2-HLA-B3501-10mers-254P1D68 Each peptide is a portion of SEQ ID NO: 5; each start position is specified, the length of peptide is 10 amino acids, and the end position for each peptide is the start position plus nine. Start Subsequence Score  1 WGLEEMSEYA 0.200  4 EEMSEYADDY 0.200  7 SEYADDYREL 0.150  6 MSEYADDYRE 0.023  5 EMSEYADDYR 0.020  9 YADDYRELEK 0.018  2 GLEEMSEYAD 0.006  8 EYADDYRELE 0.002 10 ADDYRELEKD 0.000  3 LEEMSEYADD 0.000

TABLE XXI-V3 HLA-B3501-10mers-254P1D68 Each peptide is a portion of SEQ ID NO: 7; each start position is specified, the length of peptide is 10 amino acids, and the end position for each peptide is the start position plus nine. Start Subsequence Score  8 SPCCARKQCS 2.000  1 MTRLGWPSPC 0.300  6 WPSPCCARKQ 0.200  3 RLGWPSPCCA 0.200  7 PSPCCARKQC 0.050 10 CCARKQCSEG 0.010  4 LGWPSPCCAR 0.010  2 TRLGWPSPCC 0.010  9 PCCARKQCSE 0.001  5 GWPSPCCARK 0.001

TABLE XXI-V5 HLA-B3501-10mers-254P1D68 Each peptide is a portion of SEQ ID NO: 11; each start position is specified, the length of peptide is 10 amino acids, and the end position for each peptide is the start position plus nine. Start Subsequence Score  1 SPEDIRKDLT 1.200  9 LTFLGKDWGL 1.000  3 EDIRKDLTFL 0.150  7 KDLTFLGKDW 0.100  4 DIRKDLTFLG 0.030  8 DLTFLGKDWG 0.010  5 IRKDLTFLGK 0.006  2 PEDIRKDLTF 0.003 10 TFLGKDWGLE 0.002  6 RKDLTFLGKD 0.001

TABLE XXII-V1 HLA-A1-1-9mers-254P1D6B Each peptide is a portion of SEQ ID NO: 3; each start position is specified, the length of peptide is 9 amino acids, and the end position for each peptide is the start position plus eight. Pos 123456789 score  554 SDDHQIVLY 31  650 SDDHGIVFY 29  182 YTDWGLLPG 26  743 STDDQRIVS 26  460 TDDTEIVSY 25  681 VTGLQVGTY 25  744 TDDQRIVSY 25  936 WMENLIQRY 25  778 LTNLVEGVY 24  108 QRPAQLLDY 23  459 STDDTEIVS 23  209 TQQDPELHY 22  395 LSQLSVGLY 22  649 SSDDHGIVF 22  360 PAPPVETTY 21  553 SSDDHQIVL 21  587 LSAMQEGDY 21  950 SNCEWSIFY 21  138 RKDLPFLGK 20  156 YSDDYRELE 20  483 SVDSPVLRL 20  695 VKDQQGLSS 20  792 VTDSQGASD 20 1019 STEHNSSLM 20  229 LPERSVLLP 19  378 PTDYQGEIK 19  410 SSENAFGEG 19  491 LSNLDPGNY 19  576 VMQGVQTPY 19  157 SDDYRELEK 18  190 GSEGAFNSS 18  299 STEHSIPTP 18  462 DTEIVSYHW 18  493 NLDPGNYSF 18  505 VTDSDGATN 18  601 VTDSSRQQS 18  862 DLSTVIVFY 18 1005 ERMELRPKY 18 1028 VSESEFDSD 18 1034 DSDQDTIFS 18   39 NLETTRIMR 17   70 AWWFEGRCY 17   91 KKMGPIRSY 17  162 ELEKDLLQP 17  174 QEPRGSAEY 17  769 GSDHSVALQ 17  849 DSDIKVQKI 17  987 TKIRKKTKY 17   23 KQCSEGRTY 16  152 EMSEYSDDY 16  212 DPELHYLNE 16  373 NLISHPTDY 16  569 GSEGKHVVM 16  638 PVESATLDG 16  668 AVEMENIDK 16  800 DTDTATVEV 16  829 LTEQRKDTL 16 1003 EQERMELRP 16 1059 IRNGASFSY 16   25 CSEGRTYSN 15  148 WGLEEMSEY 15  173 KQEPRGSAE 15  223 STPAPKLPE 15  318 PSELPISPT 15  339 AGDNLIITL 15  362 PPVETTYNY 15  507 DSDGATNST 15  519 LIVNNAVDY 15  592 EGDYTFQLK 15  798 ASDTDTATV 15  909 DTAGCLLKC 15 1045 KMERGNPKV 15

TABLE XXII-V2 HLA-A1-1-9mers-254P1D6B Each peptide is a portion of SEQ ID NO: 5; each start position is specified, the length of peptide is 9 amino acids, and the end position for each peptide is the start position plus eight. Pos 123456789 score 9 ADDYRELEK 17 4 EMSEYADDY 16 8 YADDYRELE 16 5 MSEYADDYR 14 1 GLEEMSEYA 11 2 LEEMSEYAD 10

TABLE XXII-V3 HLA-A1-1-9mers-254P1D6B Each peptide is a portion of SEQ ID NO: 7; each start position is specified, the length of peptide is 9 amino acids, and the end position for each peptide is the start position plus eight. Pos 123456789 score 1 MTRLGWPSP 8 7 PSPCCARKQ 6 4 LGWPSPCCA 4 6 WPSPCCARK 4 8 SPCCARKQC 3

TABALE XXII-V5 HLA-A1-9mers-254P1D6B Each peptide is a portion of SEQ ID NO: 11; each start position is specified, the length of peptide is 9 amino acids, and the end position for each peptide is the start position plus eight. Pos 123456789 score 5 RKDLTFLGK 19 1 PEDIRKDLT 12

TABLE XXIII-V1 HLA-A0201-9mers-254P1D6B Each peptide is a portion of SEQ ID NO: 3; each start position is specified, the length of peptide is 9 amino acids, and the end position for each peptide is the start position plus eight. Pos 123456789 score  840 QLAVLLNVL 28  900 FLLFKVLRV 28    7 VLSSLLLLV 27  274 SLPPASLEL 27  401 GLYVFKVTV 27  816 GLVELTLQV 27  441 QLQELTLPL 26  673 NIDKAIATV 26  821 TLQVGVGQL 26  836 TLVRQLAVL 26  961 VLAFTLIVL 26  228 KLPERSVLL 25  279 SLELSSVTV 25  346 TLPDNEVEL 25  777 QLTNLVEGV 25   99 YLTFVLRPV 24  392 TLNLSQLSV 24  394 NLSQLSVGL 24  445 LTLPLTSAL 24  766 VIDGSDHSV 24  968 VLTGGFTWL 24   10 SLLLLVTIA 23  113 LLDYGDMML 23  344 IITLPDNEV 23  399 SVGLYVFKV 23  437 VVSPQLQEL 23  452 ALIDGSQST 23  728 VLVLPNNSI 23  730 VLPNNSITL 23 1045 KMERGNPKV 23    6 GVLSSLLLL 22  136 DIRKDLPFL 22  186 GLLPGSEGA 22  430 VNLPPVAVV 22  483 SVDSPVLRL 22  511 ATNSTTAAL 22  540 TLPQNSITL 22  609 STAVVTVIV 22  627 AVAGPDKEL 22  676 KAIATVTGL 22  703 STSTLTVAV 22  773 SVALQLTNL 22  844 LLNVLDSDI 22    9 SSLLLLVTI 21   12 LLLVTIAGC 21   35 VISPNLETT 21   92 KMGPIRSYL 21  558 QIVLYEWSL 21  774 VALQLTNLV 21  780 NLVEGVYTF 21  897 KADFLLFKV 21   95 PIRSYLTFV 20  221 SASTPAPKL 20  233 SVLLPLPTT 20  446 TLPLTSALI 20  517 AALIVNNAV 20  687 GTYHFRLTV 20  858 RAHSDLSTV 20  960 TVLAFTLIV 20  285 VTVEKSPVL 19  327 TAPRTVKEL 19  339 AGDNLIITL 19  429 RVNLPPVAV 19  538 TITLPQNSI 19  634 ELIFPVESA 19  721 ARAGGRHVL 19  800 DTDTATVEV 19  837 LVRQLAVLL 19  843 VLLNVLDSD 19  846 NVLDSDIKV 19  881 KAAEVARNL 19  112 QLLDYGDMM 18  234 VLLPLPTTP 18  287 VEKSPVLTV 18  414 AFGEGFVNV 18  531 ANAGPNHTI 18  607 QQSTAVVTV 18  635 LIFPVESAT 18  722 RAGGRHVLV 18  784 GVYTFHLRV 18  798 ASDTDTATV 18  955 SIFYVTVLA 18  958 YVTVLAFTL 18  962 LAFTLIVLT 18   11 LLLLVTIAG 17  103 VLRPVQRPA 17  210 QQDPELHYL 17  217 YLNESASTP 17  267 EVLMPSHSL 17  272 SHSLPPASL 17  277 PASLELSSV 17  303 SIPTPPTSA 17  342 NLIITLPDN 17  353 ELKAFVAPA 17  359 APAPPVETT 17  397 QLSVGLYVF 17  427 ARRVNLPPV 17  444 ELTLPLTSA 17  493 NLDPGNYSF 17  565 SLGPGSEGK 17  579 GVQTPYLHL 17  589 AMQEGDYTF 17  693 LTVKDQQGL 17  701 LSSTSTLTV 17  723 AGGRHVLVL 17  736 ITLDGSRST 17  818 VELTLQVGV 17  829 LTEQRKDTL 17  835 DTLVRQLAV 17  839 RQLAVLLNV 17  901 LLFKVLRVD 17 1054 SMNGSIRNG 17   13 LLVTIAGCA 16   34 AVISPNLET 16  120 MLNRGSPSG 16  197 SSVGDSPAV 16  292 VLTVTPGST 16  331 TVKELTVSA 16  335 LTVSAGDNL 16  366 TTYNYEWNL 16  385 IKQGHKQTL 16  422 VTVKPARRV 16  481 KTSVDSPVL 16  486 SPVLRLSNL 16  497 GNYSFRLTV 16  518 ALIVNNAVD 16  533 AGPNHTITL 16  560 VLYEWSLGP 16  593 GDYTFQLKV 16  605 SRQQSTAVV 16  636 IFPVESATL 16  655 IVFYHWEHV 16  678 IATVTGLQV 16  683 GLQVGTYHF 16  699 QGLSSTSTL 16  720 RARAGGRHV 16  812 PRKSGLVEL 16  877 FKVLKAAEV 16  885 VARNLHMRL 16  888 NLHMRLSKE 16  905 VLRVDTAGC 16  954 WSIFYVTVL 16  965 TLIVLTGGF 16   32 SNAVISPNL 15   40 LETTRIMRV 15   47 RVSHTFPVV 15   50 HTFPVVDCT 15   71 WWFEGRCYL 15   78 YLVSCPHKE 15  128 GIWGDSPED 15  179 SAEYTDWGL 15  187 LLPGSEGAF 15  191 SEGAFNSSV 15  235 LLPLPTTPS 15  284 SVTVEKSPV 15  336 TVSAGDNLI 15  338 SAGDNLIIT 15  350 NEVELKAFV 15  396 SQLSVGLYV 15  439 SPQLQELTL 15  465 IVSYHWEEI 15  516 TAALIVNNA 15  525 VDYPPVANA 15  547 TLNGNQSSD 15  628 VAGPDKELI 15  685 QVGTYHFRL 15  700 GLSSTSTLT 15  754 WIRDGQSPA 15  833 RKDTLVRQL 15  862 DLSTVIVFY 15  863 LSTVIVFYV 15  866 VIVFYVQSR 15  940 LIQRYIWDG 15  988 KIRKKTKYT 15 1025 SLMVSESEF 15    3 PPTGVLSSL 14   16 TIAGCARKQ 14   96 IRSYLTFVL 14  166 DLLQPSGKQ 14  207 AETQQDPEL 14  226 APKLPERSV 14  239 PTTPSSGEV 14  240 TTPSSGEVL 14  247 VLEKEKASQ 14  248 LEKEKASQL 14  260 SSNSSGKEV 14  261 SNSSGKEVL 14  268 VLMPSHSLP 14  326 TTAPRTVKE 14  337 VSAGDNLII 14  356 AFVAPAPPV 14  358 VAPAPPVET 14  390 KQTLNLSQL 14  416 GEGFVNVTV 14  431 NLPPVAVVS 14  434 PVAVVSPQL 14  453 LIDGSQSTD 14  539 ITLPQNSIT 14  575 VVMQGVQTP 14  591 QEGDYTFQL 14  643 TLDGSSSSD 14  669 VEMENIDKA 14  677 AIATVTGLQ 14  706 TLTVAVKKE 14  729 LVLPNNSIT 14  737 TLDGSRSTD 14  782 VEGVYTFHL 14  814 KSGLVELTL 14  828 QLTEQRKDT 14  847 VLDSDIKVQ 14  849 DSDIKVQKI 14  860 HSDLSTVIV 14  871 VQSRPPFKV 14  890 HMRLSKEKA 14  893 LSKEKADFL 14  907 RVDTAGCLL 14  909 DTAGCLLKC 14  918 SGHGHCDPL 14  944 YIWDGESNC 14  966 LIVLTGGFT 14   37 SPNLETTRI 13  121 LNRGSPSGI 13  142 PFLGKDWGL 13  145 GKDWGLEEM 13  167 LLQPSGKQE 13  180 AEYTDWGLL 13  182 YTDWGLLPG 13  214 ELHYLNESA 13  281 ELSSVTVEK 13  319 SELPISPTT 13  320 ELPISPTTA 13  324 SPTTAPRTV 13  343 LIITLPDNE 13  374 LISHPTDYQ 13  387 QGHKQTLNL 13  403 YVFKVTVSS 13  419 FVNVTVKPA 13  424 VKPARRVNL 13  476 PFIEEKTSV 13  477 FIEEKTSVD 13  490 RLSNLDPGN 13  515 TTAALIVNN 13  522 NNAVDYPPV 13  530 VANAGPNHT 13  553 SSDDHQIVL 13  577 MQGVQTPYL 13  604 SSRQQSTAV 13  621 NNRPPVAVA 13  631 PDKELIFPV 13  642 ATLDGSSSS 13  648 SSSDDHGIV 13  680 TVTGLQVGT 13  696 KDQQGLSST 13  745 DDQRIVSYL 13  748 RIVSYLWIR 13  752 YLWIRDGQS 13  758 GQSPAAGDV 13  768 DGSDHSVAL 13  770 SDHSVALQL 13  775 ALQLTNLVE 13  809 QPDPRKSGL 13  842 AVLLNVLDS 13  879 VLKAAEVAR 13  898 ADFLLFKVL 13  906 LRVDTAGCL 13  914 LLKCSGHGH 13  933 SHLWMENLI 13  951 NCEWSIFYV 13  959 VTVLAFTLI 13  996 TILDNMDEQ 13 1007 MELRPKYGI 13 1018 RSTEHNSSL 13

TABLE XXIII-V2 HLA-A0201-9mers-254P1D6B Each peptide is a portion of SEQ ID NO: 5; each start position is specified, the length of peptide is 9 amino acids, and the end position for each peptide is the start position plus eight. Pos 123456789 score 1 GLEEMSEYA 16 7 EYADDYREL 12 4 EMSEYADDY  8 8 YADDYRELE  8

TABLE XXIII-V3 HLA-A0201-9 mers-254P1D6B Each peptide is a portion of SEQ ID NO: 7; each start position is specified, the length of peptide is 9 amino acids, and the end position for each peptide is the start position plus eight. Pos 123456789 score  3 RLGWPSPCC 12  1 MTRLGWPSP 9  4 LGWPSPCCA 9 10 CCARKQCSE 5

TABLE XXIII 254P1D6B v5 HLA-0201-p-mers Each peptide is a portion of SEQ ID NO: 11; each start position is specified, the length of peptide is 9 amino acids, and the end position for each peptide is the start position plus eight. Pos 123456789 score 3 DIRKDLTFL 21 9 TFLGKDWGL 16 6 KDLTFLGKD 10

TABLE XXIV-V1 HLA-A0203-9 mers-254P1D6B NoResultsFound.

TABLE XXIV-V2 HLA-A0203-9 mers-254P1D6B NoResultsFound.

TABLE XXIV-V3 HLA-A0203-9 mers-254P1D6B NoResultsFound.

TABLE XXIV-V5 HLA-A0203-9 mers-254P1D6B NoResultsFound.

TABLE XXV-V1 HLA-A0203-9 mers-254P1D6B NoResultsFound.

TABLE XXV-V2 HLA-A0203-9 mers-254P1D6B NoResultsFound.

TABLE XXV-V3 HLA-A3-9 mers-254P1D6B Each peptide is a portion of SEQ ID NO: 7; each start position is specified, the length of peptide is 9 amino acids, and the end position for each peptide is the start position plus eight. Pos 123456789 score  6 WPSPCCARK 16  3 RLGWPSPCC 14  1 MTRLGWPSP 8  2 TRLGWPSPC 8 10 CCARKQCSE 7

TABLE XXV-V5 HLA-A3-9 mers-254P1D6B Each peptide is a portion of SEQ ID NO: 11; each start position is specified, the length of peptide is 9 amino acids, and the end position for each peptide is the start position plus eight. Pos 1 2 3 4 5 6 7 8 9 score 2 EDIRKDLTF 18 5 RKDLTFLGK 18 7 DLTFLGKDW 13 3 DIRKDLTFL 12

TABLE XXVI-V1 HLA-A26-9 mers-254P1D6B Each peptide is a portion of SEQ ID NO: 3; each start position is specified, the length of peptide is 9 amino acids, and the end position for each peptide is the start position plus eight. Pos 123456789 score  267 EVLMPSHSL 29  884 EVARNLHMR 26  483 SVDSPVLRL 25    6 GVLSSLLLL 24  135 EDIRKDLPF 24  136 DIRKDLPFL 24  246 EVLEKEKAS 24  681 VTGLQVGTY 24 1005 ERMELRPKY 24  285 VTVEKSPVL 23  437 VVSPQLQEL 23  745 DDQRIVSYL 23  765 DVIDGSDHS 23  773 SVALQLTNL 23  152 EMSEYSDDY 22  335 LTVSAGDNL 22  407 VTVSSENAF 22  807 EVQPDPRKS 22  862 DLSTVIVFY 22  909 DTAGCLLKC 22   41 ETTRIMRVS 21  349 DNEVELKAF 21  351 EVELKAFVA 21  958 YVTVLAFTL 21 1038 DTIFSREKM 21  365 ETTYNYEWN 20  445 LTLPLTSAL 20  693 LTVKDQQGL 20  155 EYSDDYREL 19  159 DYRELEKDL 19  240 TTPSSGEVL 19  417 EGFVNVTVK 19  434 PVAVVSPQL 19  464 EIVSYHWEE 19  519 LIVNNAVDY 19  579 GVQTPYLHL 19  611 AVVTVIVQP 19  634 ELIFPVESA 19  778 LTNLVEGVY 19  780 NLVEGVYTF 19  837 LVRQLAVLL 19  907 RVDTAGCLL 19  949 ESNCEWSIF 19    4 PTGVLSSLL 18  106 PVQRPAQLL 18  208 ETQQDPELH 18  461 DDTEIVSYH 18  486 SPVLRLSNL 18  511 ATNSTTAAL 18  627 AVAGPDKEL 18  672 ENIDKAIAT 18  685 QVGTYHFRL 18  768 DGSDHSVAL 18  835 DTLVRQLAV 18   50 HTFPVVDCT 17   56 DCTAACCDL 17  366 TTYNYEWNL 17  436 AVVSPQLQE 17  558 QIVLYEWSL 17  612 VVTVIVQPE 17  802 DTATVEVQP 17  829 LTEQRKDTL 17  836 TLVRQLAVL 17  987 TKIRKKTKY 17   34 AVISPNLET 16   53 PVVDCTAAC 16  162 ELEKDLLQP 16  233 SVLLPLPTT 16  330 RTVKELTVS 16  362 PPVETTYNY 16  390 KQTLNLSQL 16  399 SVGLYVFKV 16  444 ELTLPLTSA 16  460 TDDTEIVSY 16  462 DTEIVSYHW 16  481 KTSVDSPVL 16  495 DPGNYSFRL 16  574 HVVMQGVQT 16  661 EHVRGPSAV 16  676 KAIATVTGL 16  679 ATVTGLQVG 16  744 TDDQRIVSY 16  800 DTDTATVEV 16  819 ELTLQVGVG 16  842 AVLLNVLDS 16  865 TVIVFYVQS 16  896 EKADFLLFK 16  954 WSIFYVTVL 16    3 PPTGVLSSL 15   74 EGRCYLVSC 15   91 KKMGPIRSY 15  108 QRPAQLLDY 15  132 DSPEDIRKD 15  231 ERSVLLPLP 15  251 EKASQLQEQ 15  288 EKSPVLTVT 15  293 LTVTPGSTE 15  331 TVKELTVSA 15  339 AGDNLIITL 15  373 NLISHPTDY 15  384 EIKQGHKQT 15  395 LSQLSVGLY is  403 YVFKVTVSS 15  472 EINGPFIEE 15  479 EEKTSVDSP 15  504 TVTDSDGAT 15  514 STTAALIVN 15  554 SDDHQIVLY 15  555 DDHQIVLYE 15  571 EGKHVVMQG 15  575 VVMQGVQTP 15  614 TVIVQPENN 15  650 SDDHGIVFY 15  821 TLQVGVGQL 15  861 SDLSTVIVF 15  867 IVFYVQSRP 15  936 WMENLIQRY 15  965 TLIVLTGGF 15 1021 EHNSSLMVS 15 1057 GSIRNGASF 15    5 TGVLSSLLL 14   71 WWFEGRCYL 14   94 GPIRSYLTF 14  102 FVLRPVQRP 14  181 EYTDWGLLP 14  230 PERSVLLPL 14  299 STEHSIPTP 14  316 SPTSELPIS 14  353 ELKAFVAPA 14  419 FVNVTVKPA 14  471 EEINGPFIE 14  515 TTAALIVNN 14  520 IVNNAVDYP 14  595 YTFQLKVTD 14  651 DDHGIVFYH 14  655 IVFYHWEHV 14  783 EGVYTFHLR 14  786 YTFHLRVTD 14  791 RVTDSQGAS 14  804 ATVEVQPDP 14  817 LVELTLQVG 14  833 RDKTLVRQL 14  849 DSDIKVQKI 14  906 LRVDTAGCL 14  950 SNCEWSIFY 14  956 IFYVTVLAF 14

TABLE XXVI-V2 A26-9 mers-254P1D6B Each peptide is a portion of SEQ ID NO: 5; each start position is specified, the length of peptide is 9 amino acids, and the end position for each peptide is the start position plus eight. Pos 123456789 score 4 EMSEYADDY 22 7 EYADDYREL 19 3 EEMSEYADD 11

TABLE XXVI-V3 A26-9 mers-254P1D6B Each peptide is a portion of SEQ ID NO: 7; each start position is specified, the length of peptide is 9 amino acids, and the end position for each peptide is the start position plus eight. Pos 123456789 score 1 MTRLGWPSP 9

TABLE XXVI-V5 A26-9 mers-254P1D6B Each peptide is a portion of SEQ ID NO: 11; each start position is specified, the length of peptide is 9 amino acids, and the end position for each peptide is the start position plus eight. Pos 1 2 3 4 5 6 7 8 9 score 2 EDIRKDLTF 25 3 DIRKDLTFL 24 8 LTFLGKDWG 12

TABLE XXVII-V1 HLA-B0702-9 mers-254P1D6B Each peptide is a portion of SEQ ID NO: 3; each start position is specified, the length of peptide is 9 amino acids, and the end position for each peptide is the start position plus eight. Pos 123456789 score  359 APAPPVETT 24  304 IPTPPTSAA 23    3 PPTGVLSSL 22  105 RPVQRPAQL 22  439 SPQLQELTL 22  809 QPDPRKSGL 22  133 SPEDIRKDL 21  175 EPRGSAEYT 21  226 APKLPERSV 21  495 DPGNYSFRL 21  270 MPSHSLPPA 20  328 APRTVKELT 20  486 SPVLRLSNL 20  874 RPPFKVLKA 20  618 QPENNRPPV 19   37 SPNLETTRI 18   52 FPVVDCTAA 18   94 GPIRSYLTF 18  567 GPGSEGKHV 18  627 AVAGPDKEL 18  872 QSRPPFKVL 18  875 PPFKVLKAA 18  296 TPGSTEHSI 17  483 SVDSPVLRL 17  582 TPYLHLSAM 17  721 ARAGGRHVL 17  723 AGGRHVLVL 17  811 DPRKSGLVE 17  221 SASTPAPKL 16  272 SHSLPPASL 16  312 APSESTPSE 16  321 LPISPTTAP 16  324 SPTTAPRTV 16  377 HPTDYQGEI 16    2 APPTGVLSS 15   96 IRSYLTFVL 15  136 DIRKDLPFL 15  169 QPSGKQEPR 15  230 PERSVLLPL 15  301 EHSIPTPPT 15  481 KTSVDSPVL 15  511 ATNSTTAAL 15  579 GVQTPYLHL 15  621 NNRPPVAVA 15  768 DGSDHSVAL 15   89 EPKKMGPIR 14   92 KMGPIRSYL 14  125 SPSGIWGDS 14  188 LPGSEGAFN 14  202 SPAVPAETQ 14  241 TPSSGEVLE 14  267 EVLMPSHSL 14  356 AFVAPAPPV 14  361 APPVETTYN 14  387 QGHKQTLNL 14  394 NLSQLSVGL 14  424 VKPARRVNL 14  441 QLQELTLPL 14  531 ANAGPNHTI 14  676 KAIATVTGL 14  715 NNSPPRARA 14  760 SPAAGDVID 14  814 KSGLVELTL 14  837 LVRQLAVLL 14  898 ADFLLFKVL 14  968 VLTGGFTWL 14   34 AVISPNLET 13  106 PVQRPAQLL 13  155 EYSDDYREL 13  199 VGDSPAVPA 13  207 AETQQDPEL 13  224 TPAPKLPER 13  227 PKLPERSVL 13  228 KLPERSVLL 13  229 LPERSVLLP 13  236 LPLPTTPSS 13  238 LPTTPSSGE 13  261 SNSSGKEVL 13  274 SLPPASLEL 13  276 PPASLELSS 13  290 SPVLTVTPG 13  339 AGDNLIITL 13  385 IKQGHKQTL 13  425 KPARRVNLP 13  429 RVNLPPVAV 13  430 VNLPPVAVV 13  432 LPPVAVVSP 13  433 PPVAVVSPQ 13  437 VVSPQLQEL 13  445 LTLPLTSAL 13  533 AGPNHTITL 13  577 MQGVQTPYL 13  620 ENNRPPVAV 13  623 RPPVAVAGP 13  630 GPDKELIFP 13  665 GPSAVEMEN 13  718 PPRARAGGR 13  833 RKDTLVRQL 13  907 RVDTAGCLL 13  918 SGHGHCDPL 13  954 WSIFYVTVL 13 1047 ERGNPKVSM 13    5 TGVLSSLLL 12    6 GVLSSLLLL 12   32 SNAVISPNL 12   47 RVSHTFPVV 12  109 RPAQLLDYG 12  142 PFLGKDWGL 12  159 DYRELEKDL 12  180 AEYTDWGLL 12  210 QQDPELHYL 12  212 DPELHYLNE 12  240 TTPSSGEVL 12  262 NSSGKEVLM 12  285 VTVEKSPVL 12  287 VEKSPVLTV 12  288 EKSPVLTVT 12  306 TPPTSAAPS 12  317 TPSELPISP 12  346 TLPDNEVEL 12  347 LPDNEVELK 12  358 VAPAPPVET 12  414 AFGEGFVNV 12  427 ARRVNLPPV 12  434 PVAVVSPQL 12  447 LPLTSALID 12  525 VDYPPVANA 12  528 PPVANAGPN 12  553 SSDDHQIVL 12  591 QEGDYTFQL 12  624 PPVAVAGPD 12  636 IFPVESATL 12  703 STSTLTVAV 12  717 SPPRARAGG 12  722 RAGGRHVLV 12  755 IRDGQSPAA 12  770 SDHSVALQL 12  773 SVALQLTNL 12  782 VEGVYTFHL 12  812 PRKSGLVEL 12  813 RKSGLVELT 12  836 TLVRQLAVL 12  840 QLAVLLNVL 12  859 AHSDLSTVI 12  881 KAAEVARNL 12  885 VARNLHMRL 12  927 TKRCICSHL 12  961 VLAFTLIVL 12  990 RKKTKYTIL 12    4 PTGVLSSLL 11    8 LSSLLLLVT 11   56 DCTAACCDL 11   61 CCDLSSCDL 11   71 WWFEGRCYL 11   82 CPHKENCEP 11  113 LLDYGDMML 11  205 VPAETQQDP 11  275 LPPASLELS 11  307 PPTSAAPSE 11  309 TSAAPSEST 11  315 ESTPSELPI 11  327 TAPRTVKEL 11  335 LTVSAGDNL 11  337 VSAGDNLII 11  353 ELKAFVAPA 11  362 PPVETTYNY 11  390 KQTLNLSQL 11  444 ELTLPLTSA 11  527 YPPVANAGP 11  534 GPNHTITLP 11  541 LPQNSITLN 11  569 GSEGKHVVM 11  607 QQSTAVVTV 11  634 ELIFPVESA 11  637 FPVESATLD 11  685 QVGTYHFRL 11  693 LTVKDQQGL 11  699 QGLSSTSTL 11  701 LSSTSTLTV 11  720 RARAGGRHV 11  731 LPNNSITLD 11  745 DDQRIVSYL 11  798 ASDTDTATV 11  821 TLQVGVGQL 11  871 VQSRPPFKV 11  883 AEVARNLHM 11  892 RLSKEKADF 11  893 LSKEKADFL 11  894 SKEKADFLL 11  895 KEKADFLLF 11  924 DPLTKRCIC 11  953 EWSIFYVTV 11  956 IFYVTVLAF 11  988 KIRKKTKYT 11 1001 MDEQERMEL 11 1010 RPKYGIKHR 11 1018 RSTEHNSSL 11

TABLE XXVII-V2 HLA-B0702-9 mers-254P1D6B Each peptide is a portion of SEQ ID NO: 5; each start position is specified, the length of peptide is 9 amino acids, and the end position for each peptide is the start position plus eight. Pos 123456789 score 7 EYADDYREL 12 1 GLEEMSEYA 6 9 ADDYRELEK 5

TABLE XXVII-V3 HLA-B0702-9 mers-254P1D6B Each peptide is a portion of SEQ ID NO: 7; each start position is specified, the length of peptide is 9 amino acids, and the end position for each peptide is the start position plus eight. Pos 123456789 score 6 WPSPCCARK 14 8 SPCCARKQC 11 4 LGWPSPCCA 7 3 RLGWPSPCC 6

TABLE XXVII-V5 HLA-B0702-9 mers-254P1D6B Each peptide is a portion of SEQ ID NO: 11; each start position is specified, the length of peptide is 9 amino acids, and the end position for each peptide is the start position plus eight. Pos 123456789 score 3 DIRKDLTFL 15 9 TFLGKDWGL 12 2 EDIRKDLTF 9 1 PEDIRKDLT 7

TABLE XXVIII-V1 HLA-B08-9 mers-254P1D6B Each peptide is a portion of SEQ ID NO: 3; each start position is specified, the length of peptide is 9 amino acids, and the end position for each peptide is the start position plus eight. Pos 123456789 score 248 LEKEKASQL 32 893 LSKEKADFL 32 990 RKKTKYTIL 30 228 KLPERSVLL 27 486 SPVLRLSNL 27 105 RPVQRPAQL 24 809 QPDPRKSGL 24 1008 ELRPKYGIK 24 1014 GIKHRSTEH 24 285 VTVEKSPVL 23 812 PRKSGLVEL 22 981 CKRQKRTKI 22 885 VARNLHMRL 21 988 KIRKKTKYT 21 136 DIRKDLPFL 20 142 PFLGKDWGL 20 424 VKPARRVNL 20 718 PPRARAGGR 20 133 SPEDIRKDL 19 159 DYRELEKDL 19 274 SLPPASLEL 19 353 ELKAFVAPA 19 439 SPQLQELTL 19 854 VQKIRAHSD 19 879 VLKAAEVAR 19 986 RTKIRKKTK 19 1010 RPKYGIKHR 19 1041 FSREKMERG 19 89 EPKKMGPIR 18 135 EDIRKDLPF 18 346 TLPDNEVEL 18 441 QLQELTLPL 18 821 TLQVGVGQL 18 829 LTEQRKDTL 18 900 FLLFKVLRV 18 113 LLDYGDMML 17 179 SAEYTDWGL 17 224 TPAPKLPER 17 226 APKLPERSV 17 327 TAPRTVKEL 17 384 EIKQGHKQT 17 394 NLSQLSVGL 17 477 FIEEKTSVD 17 598 QLKVTDSSR 17 692 RLTVKDQQG 17 730 VLPNNSITL 17 837 LVRQLAVLL 17 840 QLAVLLNVL 17 849 DSDIKVQKI 17 872 QSRPPFKVL 17 874 RPPFKVLKA 17 961 VLAFTLIVL 17 968 VLTGGFTWL 17 984 QKRTKIRKK 17 989 IRKKTKYTI 17 1050 NPKVSMNGS 17 3 PPTGVLSSL 16 88 CEPKKMGPI 16 169 QPSGKQEPR 16 221 SASTPAPKL 16 230 PERSVLLPL 16 246 EVLEKEKAS 16 495 DPGNYSFRL 16 540 TLPQNSITL 16 629 AGPDKELIP 16 836 TLVRQLAVL 16 881 KAAEVARNL 16 895 KEKADFLLF 16 914 LLKCSGHGH 16 924 DPLTKRCIC 16 927 TKRCICSHL 16 1025 SLMVSESEF 16 37 SPNLETTRI 15 425 KPARRVNLP 15 488 VLRLSNLDP 15 558 QIVLYEWSL 15 676 KAIATVTGL 15 709 VAVKKENNS 15 728 VLVLPNNSI 15 780 NLVEGVYTF 15 851 DIKVQKIRA 15

TABLE XXVIII-V2 HLA-B08-9 mers-254P1D6B Each peptide is a portion of SEQ ID NO: 5; each start position is specified, the length of peptide is 9 amino acids, and the end position for each peptide is the start position plus eight. Pos 123456789 score 7 EYADDYREL 13 9 ADDYRELEK 10 1 GLEEMSEYA 9

TABLE XXVIII-V3 HLA-B08-9 mers-254P1D6B Each peptide is a portion of SEQ ID NO: 7; each start position is specified, the length of peptide is 9 amino acids, and the end position for each peptide is the start position plus eight. Pos 123456789 score 10 CCARKQCSE 10 8 SPCCARKQC 9 9 PCCARKQCS 8 1 MTRLGWPSP 7 3 RLGWPSPCC 6 6 WPSPCCARK 6

TABLE XXVIII-V5 HLA-B08-9 mers-254P1D6B Each peptide is a portion of SEQ ID NO: 11; each start position is specified, the length of peptide is 9 amino acids, and the end position for each peptide is the start position plus eight. Pos 123456789 score 3 DIRKDLTFL 20 9 TFLGKDWGL 20 2 EDIRKDLTF 18 4 IRKDLTFLG 11

TABLE XXIX-V1 HLA-B1510-9 mers-254P1D6B Each peptide is a portion of SEQ ID NO: 3; each start position is specified, the length of peptide is 9 amino acids, and the end position for each peptide is the start position plus eight. Pos 123456789 score 272 SHSLPPASL 23 155 EYSDDYREL 16 346 TLPDNEVEL 16 721 ARAGGRHVL 16 96 IRSYLTFVL 15 227 PKLPERSVL 15 261 SNSSGKEVL 15 385 IKQGHKQTK 15 481 KTSVDSPVL 15 658 YHWEHVRGP 15 768 DGSDHSVAL 15 872 QSRPPFKVL 15 49 SHTFPVVDC 14 285 VTVEKSPVL 14 301 EHSIPTPPT 14 394 NLSQLSVGL 14 437 VVSPQLQEL 14 483 SVDSPVLRL 14 540 TLPQNSITL 14 627 AVAGPDKEL 14 636 IFPVESATL 14 661 EHVRGPSAV 14 812 PRKSGLVEL 14 821 TLQVGVGQL 14 829 LTEQRKDTL 14 840 QLAVLLNVL 14 859 AHSDLSTVI 14 881 KAAEVARNL 14 1001 MDEQERMEL 14 32 SNAVISPNL 13 71 WWFEGRCYL 13 92 KMGPIRSYL 13 133 SPEDIRKDL 13 160 YRELEKDLL 13 207 AETQQDPEL 13 221 SASTPAPKL 13 228 KLPERSVLL 13 240 TTPSSGEVL 13 274 SLPPASLEL 13 313 PSESTPSEL 13 327 TAPRTVKEL 13 424 VKPARRVNL 13 434 PVAVVSPQL 13 445 LTLPLTSAL 13 468 YHWEEINGP 13 553 SSDDHQIVL 13 569 GSEGKHVVM 13 573 KHVVMQGVQ 13 689 YHFRLTVKD 13 723 AGGRHVLVL 13 809 QPDPRKSGL 13 833 RKDTLVRQL 13 836 TLVRQLAVL 13 837 LVRQLAVLL 13 921 GHCDPLTKR 13 954 WSIFYVTVL 13 958 YVTVLAFTL 13 961 VLAFTLIVL 13 1021 EHNSSLMVS 13 83 PHKENCEPK 12 105 RPVQRPAQL 12 136 DIRKDLPFL 12 210 QQDPELHYL 12 215 LHYLNESAS 12 267 EVLMPSHSL 12 339 AGDNLIITL 12 388 GHKQTLNLS 12 495 DPGNYSFRL 12 577 MQGVQTPYL 12 579 GVQTPYLHL 12 585 LHLSAMQEG 12 685 QVGTYHFRL 12 730 VLPNNSITL 12 771 DHSVALQLT 12 885 VARNLHMRL 12 894 SKEKADFLL 12 898 ADFLLFKVL 12 919 GHGHCDPLT 12 968 VLTGGFTWL 12 3 PPTGVLSSL 11 4 PTGVLSSLL 11 5 TGVLSSLLL 11 6 GVLSSLLLL 11 106 PVQRPAQLL 11 113 LLDYGDMML 11 142 PFLGKDWGL 11 159 DYRELEKDL 11 179 SAEYTDWGL 11 248 LEKEKASQL 11 366 TTYNYEWNL 11 387 QGHKQTLNL 11 390 KQTLNLSQL 11 397 QLSVGLYVF 11 439 SPQLQELTL 11 441 QLQELTLPL 11 511 ATNSTTAAL 11 533 AGPNHTITL 11 536 NHTITLPQN 11 556 DHQIVLYEW 11 591 QEGDYTFQL 11 663 VRGPSAVEM 11 676 KAIATVTGL 11 693 LTVKDQQGL 11 699 QGLSSTSTL 11 726 RHVLVLPNN 11 745 DDQRIVSYL 11 773 SVALQLTNL 11 782 VEGVYTFHL 11 814 KSGLVELTL 11 889 LHMRLSKEK 11 893 LSKEKADFL 11 906 LRVDTAGCL 11 918 SGHGHCDPL 11 927 TKRCICSHL 11 932 CSHLWMENL 11 956 IFYVTVLAF 11 1018 RSTEHNSSL 11 1047 ERGNPKVSM 11

TABLE XXIX-V2 HLA-B1510-9 mers-254P1D6B Each peptide is a portion of SEQ ID NO: 5; each start position is specified, the length of peptide is 9 amino acids, and the end position for each peptide is the start position plus eight. Pos 123456789 score 7 EYADDYREL 16

TABLE XXIX-V3 HLA-B1510-9 mers-254P1D6B Each peptide is a portion of SEQ ID NO: 7; each start position is specified, the length of peptide is 9 amino acids, and the end position for each peptide is the start position plus eight. Pos 123456789 score 6 WPSPCCARK 5 2 TRLGWPSPC 3 4 LGWPSPCCA 3 5 GWPSPCCAR 3 1 MTRLGWPSP 2 3 RLGWPSPCC 2 7 PSPCCARKQ 2

TABLE XXIX-V5 HLA-B1510-9 mers-254P1D6B Each peptide is a portion of SEQ ID NO: 11; each start position is specified, the length of peptide is 9 amino acids, and the end position for each peptide is the start position plus eight. Pos 123456789 score 9 TFLGKDWGL 12 3 DIRKDLTFL 11 2 EDIRKDLTF 8

TABLE XXX-V1 HLA-B2705-9 mers- 254P1D6B No Results Found.

TABLE XXX-V2 B2705-9 mers-254P1D6B Each peptide is a portion of SEQ ID NO: 5; each start position is specified, the length of peptide is 9 amino acids, and the end position for each peptide is the start position plus eight. Pos 123456789 score 9 ADDYRELEK 13 5 MSEYADDYR 11 7 EYADDYREL 11 4 EMSEYADDY 10 6 SEYADDYRE 6

TABLE XXX-V3 B2705-9 mers-254P1D6B Each peptide is a portion of SEQ ID NO: 7; each start position is specified, the length of peptide is 9 amino acids, and the end position for each peptide is the start position plus eight. Pos 123456789 score 2 TRLGWPSPC 15 5 GWPSPCCAR 14 6 WPSPCCARK 14 3 RLGWPSPCC 7

TABLE XXX-V5 B2705-9 mers-254P1D6B Each peptide is a portion of SEQ ID NO: 11; each start position is specified, the length of peptide is 9 amino acids, and the end position for each peptide is the start position plus eight. Pos 123456789 score 9 TFLGKDWGL 17 2 EDIRKDLTF 16 5 RKDLTFLGK 16 3 DIRKDLTFL 15 4 IRKDLTFLG 12

TABLE XXXI-V1 HLA-B2709-9mers- 254P1D6B NoResultsFound.

TABLE XXXI-V2 HLA-B2709-9mers- 254P1D6B NoResultsFound.

TABLE XXXI-V3 VHLA-B2709-9mers- 254P1D6B NoResultsFound.

TABLE XXXI-V5 HLA-B2709-9mers- 254P1D6B NoResultsFound.

TABLE XXXII-V1 HLA-B2709-9mers-254P1D6B Each peptide is a portion of SEQ ID NO: 3; each start position is specified, the length of peptide is 9 amino acids, and the endposition for each peptide is the start position plus eight. Pos 123456789 score 28 GRTYSNAVI 22 812 PRKSGLVEL 22 906 LRVDTAGCL 22 96 IRSYLTFVL 21 663 VRGPSAVEM 21 721 ARAGGRHVL 21 46 MRVSHTFPV 20 160 YRELEKDLL 20 329 PRTVKELTV 20 427 ARRVNLPPV 20 741 SRSTDDQRI 20 747 QRIVSYLWI 20 989 IRKKTKYTI 20 1047 ERGNPKVSM 19 605 SRQQSTAVV 18 6 GVLSSLLLL 17 105 RPVQRPAQL 16 428 RRVNLPPVA 16 833 RKDTLVRQL 16 839 RQLAVLLNV 16 497 GNYSFRLTV 15 725 GRHVLVLPN 15 784 GVYTFHLRV 15 1018 RSTEHNSSL 15 75 GRCYLVSCP 14 92 KMGPIRSYL 14 180 AEYTDWGLL 14 390 KQTLNLSQL 14 401 GLYVFKVTV 14 481 KTSVDSPVL 14 483 SVDSPVLRL 14 579 GVQTPYLHL 14 593 GDYTFQLKV 14 676 KAIATVTGL 14 687 GTYHFRLTV 14 742 RSTDDQRIV 14 770 SDHSVALQL 14 816 GLVELTLQV 14 858 RAHSDLSTV 14 881 KAAEVARNL 14 907 RVDTAGCLL 14 929 RCICSHLWM 14 985 KRTKIRKKT 14 990 RKKTKYTIL 14 32 SNAVISPNL 13 47 RVSHTFPVV 13 94 GPIRSYLTF 13 207 AETQQDPEL 13 227 PKLPERSVL 13 228 KLPERSVLL 13 335 LTVSAGDNL 13 366 TTYNYEWNL 13 429 RVNLPPVAV 13 445 LTLPLTSAL 13 489 LRLSNLDPG 13 622 NRPPVAVAG 13 691 FRLTVKDQQ 13 699 QGLSSTSTL 13 722 RAGGRHVLV 13 723 AGGRHVLVL 13 758 GQSPAAGDV 13 814 KSGLVELTL 13 891 MRLSKEKAD 13 898 ADFLLFKVL 13 900 FLLFKVLRV 13 956 IFYVTVLAF 13 5 TGVLSSLLL 12 43 TRIMRVSHT 12 44 RIMRVSHTF 12 71 WWFEGRCYL 12 111 AQLLDYGDM 12 136 DIRKDLPFL 12 142 PFLGKDWGL 12 176 PRGSAEYTD 12 221 SASTPAPKL 12 230 PERSVLLPL 12 248 LEKEKASQL 12 267 EVLMPSHSL 12 274 SLPPASLEL 12 285 VTVEKSPVL 12 356 AFVAPAPPV 12 387 QGHKQTLNL 12 396 SQLSVGLYV 12 416 GEGFVNVTV 12 424 VKPARRVNL 12 430 VNLPPVAVV 12 434 PVAVVSPQL 12 486 SPVLRLSNL 12 501 FRLTVTDSD 12 511 ATNSTTAAL 12 567 GPGSEGKHV 12 569 GSEGKHVVM 12 678 IATVTGLQV 12 683 GLQVGTYHF 12 693 LTVKDQQGL 12 720 RARAGGRHV 12 745 DDQRIVSYL 12 755 IRDGQSPAA 12 790 LRVTDSQGA 12 821 TLQVGVGQL 12 832 QRKDTLVRQ 12 837 LVRQLAVLL 12 838 VRQLAVLLN 12 857 IRAHSDLST 12 861 SDLSTVIVF 12 873 SRPPFKVLK 12 892 RLSKEKADF 12 895 KEKADFLLF 12 928 KRCICSHLW 12 942 QRYIWDGES 12 954 WSIFYVTVL 12 958 YVTVLAFTL 12 982 KRQKRTKIR 12 993 TKYTILDNM 12 1057 GSIRNGASF 12 3 PPTGVLSSL 11 9 SSLLLLVTI 11 21 ARKQCSEGR 11 56 DCTAACCDL 11 104 LRPVQRPAQ 11 106 PVQRPAQLL 11 108 QRPAQLLDY 11 122 NRGSPSGIW 11 133 SPEDIRKDL 11 137 IRKDLPFLG 11 145 GKDWGLEEM 11 155 EYSDDYREL 11 197 SSVGDSPAV 11 210 QQDPELHYL 11 231 ERSVLLPLP 11 240 TTPSSGEVL 11 261 SNSSGKEVL 11 287 VEKSPVLTV 11 313 PSESTPSEL 11 315 ESTPSELPI 11 327 TAPRTVKEL 11 339 AGDNLIITL 11 346 TLPDNEVEL 11 385 IKQGHKQTL 11 394 NLSQLSVGL 11 414 AFGEGFVNV 11 422 VTVKPARRV 11 437 VVSPQLQEL 11 439 SPQLQELTL 11 441 QLQELTLPL 11 495 DPGNYSFRL 11 513 NSTTAALIV 11 517 AALIVNNAV 11 533 AGPNHTITL 11 551 NQSSDDHQI 11 558 QIVLYEWSL 11 572 GKHVVMQGV 11 577 MQGVQTPYL 11 591 QEGDYTFQL 11 627 AVAGPDKEL 11 636 IFPVESATL 11 655 IVFYHWEHV 11 685 QVGTYHFRL 11 719 PRARAGGRH 11 768 DGSDHSVAL 11 773 SVALQLTNL 11 780 NLVEGVYTF 11 809 QPDPRKSGL 11 818 VELTLQVGV 11 835 DTLVRQLAV 11 836 TLVRQLAVL 11 855 QKIRAHSDL 11 863 LSTVIVFYV 11 872 QSRPPFKVL 11 883 AEVARNLHM 11 885 VARNLHMRL 11 886 ARNLHMRLS 11 893 LSKEKADFL 11 927 TKRCICSHL 11 932 CSHLWMENL 11 948 GESNCEWSI 11 960 TVLAFTLIV 11 968 VLTGGFTWL 11 1005 ERMELRPKY 11 1007 MELRPKYGI 11 1045 KMERGNPKV 11 1059 IRNGASFSY 11 4 IPTGVLSSLL 10 7 VLSSLLLLV 10 38 PNLETTRIM 10 40 LETTRIMRV 10 61 CCDLSSCDL 10 85 KENCEPKKM 10 112 QLLDYGDMM 10 113 LLDYGDMML 10 135 EDIRKDLPF 10 159 DYRELEKDL 10 179 SAEYTDWGL 10 239 PTTPSSGEV 10 272 SHSLPPASL 10 337 VSAGDNLII 10 344 IITLPDNEV 10 407 VTVSSENAF 10 458 QSTDDTEIV 10 480 EKTSVDSPV 10 493 NLDPGNYSF 10 522 NNAVDYPPV 10 540 TLPQNSITL 10 553 SSDDHQIVL 10 582 TPYLHLSAM 10 589 AMQEGDYTF 10 607 QQSTAVVTV 10 608 QSTAVVTVI 10 628 VAGPDKELI 10 629 AGPDKELIF 10 647 SSSSDDHGI 10 730 VLPNNSITL 10 774 VALQLTNLV 10 777 QLTNLVEGV 10 782 VEGVYTFHL 10 798 ASDTDTATV 10 829 LTEQRKDTL 10 840 QLAVLLNVL 10 846 NVLDSDIKV 10 869 FYVQSRPPF 10 877 FKVLKAAEV 10 894 SKEKADFLL 10 897 KADFLLFKV 10 918 SGHGHCDPL 10 933 SHLWMENLI 10 961 VLAFTLIVL 10 1001 MDEQERMEL 10 1009 LRPKYGIKH 10 1017 HRSTEHNSS 10 1032 EFDSDQDTI 10 1042 SREKMERGN 10 1051 PKVSMNGSI 10

TABLE XXXI-V2 HLA-B2709-9mers-254P1D6B Each peptide is a portion of SEQ ID NO: 5; each start position is specified, the length of peptide is 9 amino acids, and the end position for each peptide is the start position plus eight. Pos 123456789 score 7 EYADDYREL 11 6 SEYADDYRE 5

TABLE XXXI-V3 HLA-B2709-9mers-254P1D6B Each peptide is a portion of SEQ ID NO: 7; each start position is specified, the length of peptide is 9 amino acids, and the end position for each peptide is the start position plus eight. Pos 123456789 score 2 TRLGWPSPC 12 3 RLGWPSPCC 5

TABLE XXXI-V5 HLA-B2709-9mers-254P1D6B Each peptide is a portion of SEQ ID NO: 11; each start position is specified, the length of peptide is 9 amino acids, and the end position for each peptide is the start position plus eight. Pos 123456789 score 9 TFLGKDWGL 12 3 DIRKDLTFL 11 4 IRKDLTFLG 11 2 EDIRKDLTF 10 5 RKDLTFLGK 5

TABLE XXXII-V1 HLA-B4402-9mers-254P1D6B Each peptide is a portion of SEQ ID NO:3; each start position is specified, the length of peptide is 9 amino acids, and the end position for each peptide is the start position plus eight. Pos 123456789 score 180 AEYTDWGLL 25 895 KEKADFLLF 24 207 AETQQDPEL 23 591 QEGDYTFQL 23 174 QEPRGSAEY 22 230 PERSVLLPL 22 248 LEKEKASQL 22 364 VETTYNYEW 21 411 SENAFGEGF 21 782 VEGVYTFHL 21 937 MENLIQRYI 21 339 AGDNLIITL 20 898 ADFLLFKVL 20 948 GESNCEWSI 20 1007 MELRPKYGI 20 88 CEPKKMGPI 19 470 WEEINGPFI 19 533 AGPNHTITL 18 91 KKMGPIRSY 17 135 EDIRKDLPF 17 319 SELPISPTT 17 445 LTLPLTSAL 17 471 EEINGPFIE 11 554 SDDHQIVLY 17 721 ARAGGRHVL 17 723 AGGRHVLVL 17 872 QSRPPFKVL 17 92 KMGPIRSYL 16 94 GPIRSYLTF 16 133 SPEDIRKDL 16 210 QQDPELHYL 16 227 PKLPERSVL 16 274 SLPPASLEL 16 460 TDDTEIVSY 16 511 ATNSTTAAL 16 627 AVAGPDKEL 16 629 AGPDKELIF 16 650 SDDHGIVFY 16 669 VEMENIDKA 16 670 EMENIDKAI 16 744 TDDQRIVSY 16 862 DLSTVIVFY 16 1046 MERGNPKVS 16 40 LETTRIMRV 15 85 KENCEPKKM 15 155 EYSDDYREL 15 219 NESASTPAP 15 221 SASTPAPKL 15 228 KLPERSVLL 15 327 TAPRTVKEL 15 349 DNEVELKAF 15 352 VELKAFVAP 15 360 PAPPVETTY 15 373 NLISHPTDY 15 383 GEIKQGHKQ 15 390 KQTLNLSQL 15 437 VVSPQLQEL 15 443 QELTLPLTS 15 493 NLDPGNYSF 15 553 SSDDHQIVL 15 649 SSDDHGIVF 15 676 KAIATVTGL 15 730 VLPNNSITL 15 768 DGSDHSVAL 15 809 QPDPRKSGL 15 833 RKDTLVRQL 15 861 SDLSTVIVF 15 883 AEVARNLHM 15 954 WSIFYVTVL 15 987 TKIRKKTKY 15 1005 ERMELRPKY 15 1057 GSIRNGASF 15 6 GVLSSLLLL 14 9 SSLLLLVTI 14 44 RIMRVSHTF 14 63 DLSSCDLAW 14 70 AWWFEGRCY 14 187 LLPGSEGAF 14 267 EVLMPSHSL 14 272 SHSLPPASL 14 314 SESTPSELP 14 315 ESTPSELPI 14 346 TLPDNEVEL 14 370 YEWNLISHP 14 424 VKPARRVNL 14 439 SPQLQELTL 14 463 TEIVSYHWE 14 479 EEKTSVDSP 14 483 SVDSPVLRL 14 486 SPVLRLSNL 14 519 LIVNNAVDY 14 531 ANAGPNHTI 14 540 TLPQNSITL 14 589 AMQEGDYTF 14 619 PENNRPPVA 14 633 KELIFPVES 14 770 SDHSVALQL 14 814 KSGLVELTL 14 855 QKIRAHSDL 14 859 AHSDLSTVI 14 936 WMENLIQRY 14 938 ENLIQRYIW 14 956 IFYVTVLAF 14 965 TLIVLTGGF 14 1031 SEFDSDQDT 14 5 TGVLSSLLL 13 23 KQCSEGRTY 13 65 SSCDLAWWF 13 71 WWFEGRCYL 13 73 FEGRCYLVS 13 96 IRSYLTFVL 13 105 RPVQRPAQL 13 106 PVQRPAQLL 13 108 QRPAQLLDY 13 134 PEDIRKDLP 13 140 DLPFLGKDW 13 151 EEMSEYSDD 13 152 EMSEYSDDY 13 161 RELEKDLLQ 13 213 PELHYLNES 13 250 KEKASQLQE 13 261 SNSSGKEVL 13 266 KEVLMPSHS 13 280 LELSSVTVE 13 287 VEKSPVLTV 13 333 KELTVSAGD 13 394 NLSQLSVGL 13 395 LSQLSVGLY 13 397 QLSVGLYVF 13 407 VTVSSENAF 13 481 KTSVDSPVL 13 570 SEGKHVVMQ 13 681 VTGLQVGTY 13 699 QGLSSTSTL 13 713 KENNSPPRA 13 745 DDQRIVSYL 13 773 SVALQLTNL 13 780 NLVEGVYTF 13 818 VELTLQVGV 13 836 TLVRQLAVL 13 837 LVRQLAVLL 13 840 QLAVLLNVL 13 881 KAAEVARNL 13 907 RVDTAGCLL 13 928 KRCICSHLW 13 952 CEWSIFYVT 13 961 VLAFTLIVL 13 967 IVLTGGFTW 13 3 PPTGVLSSL 12 26 SEGRTYSNA 12 32 SNAVISPNL 12 61 CCDLSSCDL 12 64 LSSCDLAWW 12 142 PFLGKDWGL 12 159 DYRELEKDL 12 160 YRELEKDLL 12 163 LEKDLLQPS 12 209 TQQDPELHY 12 240 TTPSSGEVL 12 245 GEVLEKEKA 12 300 TEHSIPTPP 12 385 IKQGHKQTL 12 387 QGHKQTLNL 12 416 GEGFVNVTV 12 441 QLQELTLPL 12 491 LSNLDPGNY 12 512 TNSTTAALI 12 551 NQSSDDHQI 12 579 GVQTPYLHL 12 628 VAGPDKELI 12 636 IFPVESATL 12 639 VESATLDGS 12 747 QRIVSYLWI 12 778 LTNLVEGVY 12 812 PRKSGLVEL 12 821 TLQVGVGQL 12 829 LTEQRKDTL 12 830 TEQRKDTLV 12 894 SKEKADFLL 12 906 LRVDTAGCL 12 918 SGHGHCDPL 12 933 SHLWMENIL 12 949 ESNCEWSIF 12 950 SNCEWSIFY 12 958 YVTVLAFTL 12 968 VLTGGFTWL 12 1002 DEQERMELR 12 1004 QERMELRPK 12 1020 TEHNSSLMV 12 1025 SLMVSESEF 12 1029 SESEFDSDQ 12 1032 EFDSDQDTI 12 1033 FDSDQDTIF 12

TABLE XXXII-V2 HLA-B4402-9mers-254P1D6B Each peptide is a portion of SEQ ID NO: 5; each start position is specified, the length of peptide is 9 amino acids, and the end position for each peptide is the start position plus eight. Pos 123456789 score 4 EMSEYADDY 14 7 EYADDYREL 14 3 EEMSEYADD 13 2 LEEMSEYAD 12 6 SEYADDYRE 11 9 ADDYRELEK 6

TABLE XXXII-V3 HLA-B4402-9mers-254P1D6B Each peptide is a portion of SEQ ID NO: 7; each start position is specified, the length of peptide is 9 amino acids, and the end position for each peptide is the start position plus eight. Pos 123456789 score 8 SPCCARKQC 5 4 LGWPSPCCA 4 6 WPSPCCARK 4 7 PSPCCARKQ 4 2 TRLGWPSPC 3 5 GWPSPCCAR 3

TABLE XXXII-V5 HLA-B4402-9mers-254P1D6B Each peptide is a portion of SEQ ID NO: 11; each start position is specified, the length of peptide is 9 amino acids, and the end position for each peptide is the start position plus eight. Pos 123456789 score 2 EDIRKDLTF 18 1 PEDIRKDLT 13 7 DLTFLGKDW 12 9 TFLGKDWGL 12 3 DIRKDLTFL 11

TABLE XXXIIII-V1 HLA-B5101-9mers-254P1D6B Each peptide is a portion of SEQ ID NO: 3; each start position is specified, the length of peptide is 9 amino acids, and the end position for each peptide is the start position plus eight. Pos 123456789 score 517 AALIVNNAV 24 324 SPTTAPRTV 23 37 SPNLETTRI 22 296 TPGSTEHSI 22 327 TAPRTVKEL 22 377 HPTDYQGEI 22 495 DPGNYSFRL 22 678 IATVTGLQV 22 774 VALQLTNLV 22 881 KAAEVARNL 22 628 VAGPDKELI 21 676 KAIATVTGL 21 720 RARAGGRHV 21 858 RAHSDLSTV 21 897 KADFLLFKV 21 3 PPTGVLSSL 20 221 SASTPAPKL 20 567 GPGSEGKHV 20 722 RAGGRHVLV 20 811 DPRKSGLVE 20 226 APKLPERSV 19 277 PASLELSSV 19 439 SPQLQELTL 19 568 PGSEGKHVV 19 608 QSTAVVTVI 19 849 DSDIKVQKI 19 970 TGGFTWLCI 19 133 SPEDIRKDL 18 447 LPLTSALID 18 610 TAVVTVIVQ 18 618 QPENNRPPV 18 723 AGGRHVLVL 18 768 DGSDHSVAL 18 885 VARNLHMRL 18 924 DPLTKRCIC 18 27 EGRTYSNAV 17 105 RPVQRPAQL 17 179 SAEYTDWGL 17 486 SPVLRLSNL 17 523 NAVDYPPVA 17 699 QGLSSTSTL 17 874 RPPFKVLKA 17 9 SSLLLLVTI 16 229 LPERSVLLP 16 275 LPPASLELS 16 339 AGDNLIITL 16 360 PAPPVETTY 16 400 VGLYVFKVT 16 413 NAFGEGFVN 16 430 VNLPPVAVV 16 432 LPPVAVVSP 16 533 AGPNHTITL 16 582 TPYLHLSAM 16 593 GDYTFQLKV 16 637 FPVESATLD 16 809 QPDPRKSGL 16 846 NVLDSDIKV 16 875 PPFKVLKAA 16 900 FLLFKVLRV 16 962 LAFTLIVLT 16 989 IRKKTKYTI 16 2 APPTGVLSS 15 5 TGVLSSLLL 15 28 GRTYSNAVI 15 121 LNRGSPSGI 15 129 IWGDSPEDI 15 212 DPELHYLNE 15 236 LPLPTTPSS 15 306 TPPTSAAPS 15 317 TPSELPISP 15 358 VAPAPPVET 15 401 GLYVFKVTV 15 433 PPVAVVSPQ 15 497 GNYSFRLTV 15 530 VANAGPNHT 15 541 LPQNSITLN 15 626 VAVAGPDKE 15 687 GTYHFRLTV 15 701 LSSTSTLTV 15 731 LPNNSITLD 15 759 QSPAAGDVI 15 784 GVYTFHLRV 15 835 DTLVRQLAV 15 839 RQLAVLLNV 15 859 AHSDLSTVI 15 1 MAPPTGVLS 14 33 NAVISPNLE 14 69 LAWWFEGRC 14 94 GPIRSYLTF 14 99 YLTFVLRPV 14 205 VPAETQQDP 14 225 PAPKLPERS 14 287 VEKSPVLTV 14 290 SPVLTVTPG 14 337 VSAGDNLII 14 347 LPDNEVELK 14 359 APAPPVETT 14 387 QGHKQTLNL 14 415 FGEGFVNVT 14 416 GEGFVNVTV 14 426 PARRVNLPP 14 475 GPFIEEKTS 14 509 DGATNSTTA 14 512 TNSTTAALI 14 516 TAALIVNNA 14 527 YPPVANAGP 14 531 ANAGPNHTI 14 607 QQSTAVVTV 14 624 PPVAVAGPD 14 667 SAVEMENID 14 709 VAVKKENNS 14 761 PAAGDVIDG 14 762 AAGDVIDGS 14 800 DTDTATVEV 14 841 LAVLLNVLD 14 933 SHLWMENLI 14 981 CKRQKRTKI 14 17 IAGCARKQC 13 40 LETTRIMRV 13 47 RVSHTFPVV 13 88 CEPKKMGPI 13 141 LPFLGKDWG 13 159 DYRELEKDL 13 175 EPRGSAEYT 13 193 GAFNSSVGD 13 202 SPAVPAETQ 13 224 TPAPKLPER 13 238 LPTTPSSGE 13 270 MPSHSLPPA 13 285 VTVEKSPVL 13 310 SAAPSESTP 13 312 APSESTPSE 13 321 LPISPTTAP 13 328 APRTVKELT 13 336 TVSAGDNLI 13 338 SAGDNLIIT 13 362 PPVETTYNY 13 396 SQLSVGLYV 13 399 SVGLYVFKV 13 417 EGFVNVTVK 13 422 VTVKPARRV 13 425 KPARRVNLP 13 435 VAVVSPQLQ 13 446 TLPLTSALI 13 534 GPNHTITLP 13 566 LGPGSEGKH 13 623 RPPVAVAGP 13 630 GPDKELIFP 13 665 GPSAVEMEN 13 673 NIDKAIATV 13 728 VLVLPNNSI 13 797 GASDTDTAT 13 803 TATVEVQPD 13 818 VELTLQVGV 13 910 TAGCLLKCS 13 918 SGHGHCDPL 13 923 CDPLTKRCI 13 954 WSIFYVTVL 13 959 VTVLAFTLI 13 960 TVLAFTLIV 13 961 VLAFTLIVL 13 1007 MELRPKYGI 13 1010 RPKYGIKHR 13 1050 NPKVSMNGS 13 52 FPVVDCTAA 12 58 TAACCDLSS 12 82 CPHKENCEP 12 89 EPKKMGPIR 12 116 YGDMMLNRG 12 136 DIRKDLPFL 12 169 QPSGKQEPR 12 188 LPGSEGAFN 12 240 TTPSSGEVL 12 241 TPSSGEVLE 12 248 LEKEKASQL 12 279 SLELSSVTV 12 304 IPTPPTSAA 12 311 AAPSESTPS 12 315 ESTPSELPI 12 329 PRTVKELTV 12 355 KAFVAPAPP 12 361 APPVETTYN 12 366 TTYNYEWNL 12 367 TYNYEWNLI 12 414 AFGEGFVNV 12 451 SALIDGSQS 12 457 SQSTDDTEI 12 465 IVSYHWEEI 12 510 GATNSTTAA 12 513 NSTTAALIV 12 528 PPVANAGPN 12 532 NAGPNHTIT 12 538 TITLPQNSI 12 605 SRQQSTAVV 12 655 IVFYHWEHV 12 682 TGLQVGTYH 12 718 PPRARAGGR 12 741 SRSTDDQRI 12 745 DDQRIVSYL 12 747 QRIVSYLWI 12 760 SPAAGDVID 12 844 LLNVLDSDI 12 863 LSTVIVFYV 12 871 VQSRPPFKV 12 893 LSKEKADFL 12 898 ADFLLFKVL 12 937 MENLIQRYI 12 1032 EFDSDQDTI 12 1051 PKVSMNGSI 12 6 GVLSSLLLL 11 7 VLSSLLLLV 11 20 CARKQCSEG 11 56 DCTAACCDL 11 59 AACCDLSSC 11 95 PIRSYLTFV 11 96 IRSYLTFVL 11 109 RPAQLLDYG 11 125 SPSGIWGDS 11 132 DSPEDIRKD 11 158 DDYRELEKD 11 180 AEYTDWGLL 11 203 PAVPAETQQ 11 206 PAETQQDPE 11 227 PKLPERSVL 11 264 SGKEVLMPS 11 276 PPASLELSS 11 280 LELSSVTVE 11 307 PPTSAAPSE 11 344 IITLPDNEV 11 350 NEVELKAFV 11 385 IKQGHKQTL 11 392 TLNLSQLSV 11 455 DGSQSTDDT 11 476 PFIEEKTSV 11 540 TLPQNSITL 11 551 NQSSDDHQI 11 553 SSDDHQIVL 11 609 STAVVTVIV11 631 PDKELIFPV 11 636 IFPVESATL 11 645 DGSSSSDDH 11 670 EMENIDKAI 11 717 SPPRARAGG 11 730 VLPNNSITL 11 739 DGSRSTDDQ 11 757 DGQSPAAGD 11 766 VIDGSDHSV 11 798 ASDTDTATV 11 814 KSGLVELTL 11 816 GLVELTLQV 11 830 TEQRKDTLV 11 836 TLVRQLAVL 11 840 QLAVLLNVL 11 872 QSRPPFKVL 11 877 FKVLKAAEV 11 882 AAEVARNLH 11 901 LLFKVLRVD 11 906 LRVDTAGCL 11 951 NCEWSIFYV 11 953 EWSIFYVTV 11 958 YVTVLAFTL 11 1013 YGIKHRSTE 11 1020 TEHNSSLMV 11 1045 KMERGNPKV 11 1062 GASFSYCSK 11

TABLE XXXIIII-V2 HLA-B5101-9mers-254P1D6B Each peptide is a portion of SEQ ID NO: 5; each start position is specified, the length of peptide is 9 amino acids, and the end position for each peptide is the start position plus eight. Pos 123456789 score 8 YADDYRELE 14 7 EYADDYREL 8 6 SEYADDYRE 6

TABLE XXXIIII-V3 HLA-B5101-9mers-254P1D6B Each peptide is a portion of SEQ ID NO:7; each start position is specified, the length of peptide is 9 amino acids, and the end position for each peptide is the start position plus eight. Pos 123456789 score 4 LGWPSPCCA 11 6 WPSPCCARK 11 8 SPCCARKQC 11 11 CARKQCSEG 11 2 TRLGWPSPC 5 7 PSPCCARKQ 5

TABLE XXXIIII-V5 HLA-B5101-9 mers-254P1D6B Each peptide is a portion of SEQ ID NO: 11; each start position is specified, the length of peptide is 9 amino acids, and the end position for each peptide is the start position plus eight. Pos 123456789 score 3 DIRKDLTFL 13 9 TFLGKDWGL 11 6 KDLTFLGKD 6

TABLE XXXIV-V1 HLA-A1 10 mers-254P1D6B Each peptide is a portion of SEQ ID NO: 3; each start position is specified, the length of peptide is 10 amino acids, and the end position for each peptide is the start position plus nine. Pos 1234567890 score 459 STDDTEIVSY 33 553 SSDDHQIVLY 33 743 STDDQRIVSY 33 649 SSDDHGIVFY 31 173 KQEPRGSAEY 29 208 ETQQDPELHY 27 107 VQRPAQLLDY 26 1019 STEHNSSLMV 25 894 SKEKADFLLF 23 949 ESNCEWSIFY 23 986 RTKIRKKTKY 23 156 YSDDYRELEK 22 378 PTDYQGEIKQ 22 160 YRELEKDLLQ 20 359 APAPPVETTY 20 769 GSDHSVALQL 20 860 HSDLSTVIVF 20 394 NLSQLSVGLY 19 554 SDDHQIVLYE 19 72 WFEGRCYLVS 18 182 YTDWGLLPGS 18 299 STEHSIPTPP 18 347 LPDNEVELKA 18 592 EGDYTFQLKV 18 800 DTDTATVEVQ 18 829 LTEQRKDTLV 18 882 AAEVARNLHM 18 907 RVDTAGCLLK 18 1004 QERMELRPKY 18 286 TVEKSPVLTV 17 410 SSENAFGEGF 17 505 VTDSDGATNS 17 518 ALIVNNAVDY 17 569 GSEGKHVVMQ 17 601 VTDSSRQQST 17 680 TVTGLQVGTY 17 777 QLTNLVEGVY 17 792 VTDSQGASDT 17 861 SDLSTVIVFY 17 1058 SIRNGASFSY 17 22 RKQCSEGRTY 16 69 LAWWFEGRCY 16 134 PEDIRKDLPF 16 190 GSEGAFNSSV 16 210 QQDPELHYLN 16 229 LPERSVLLPL 16 249 EKEKASQLQE 16 313 PSESTPSELP 16 361 APPVETTYNY 16 442 LQELTLPLTS 16 462 DTEIVSYHWE 16 490 RLSNLDPGNY 16 507 DSDGATNSTT 16 575 VVMQGVQTPY 16 586 HLSAMQEGDY 16 798 ASDTDTATVE 16 809 QPDPRKSGLV 16

TABLE XXXIV-V2 HLA-A1-10 mers-254P1D6B Each peptide is a portion of SEQ ID NO: 5; each start position is specified, the length of peptide is 10 amino acids, and the end position for each peptide is the start position plus nine. Pos 1234567890 score 9 YADDYRELEK 18 4 EEMSEYADDY 15 6 MSEYADDYRE 14 10 ADDYRELEKD 13 2 GLEEMSEYAD 11 3 LEEMSEYADD 10

TABLE XXXIV-V3 HLA-A1-10 mers-254P1D6B Each peptide is a portion of SEQ ID NO: 7; each start position is specified, the length of peptide is 10 amino acids, and the end position for each peptide is the start position plus nine. Pos 1234567890 score 1 MTRLGWPSPC 6 6 WPSPCCARKQ 6 7 PSPCCARKQC 5 4 LGWPSPCCAR 4 8 SPCCARKQCS 2

TABLE XXXIV-V5 HLA-A1-10mers-254P1D6B Each peptide is a portion of SEQ ID NO: 11; each start position is specified, the length of peptide is 10 amino acids, and the end position for each peptide is the start position plus nine. Pos 1234567890 score 2 PEDIRKDLTF 16 1 SPEDIRKDLT 14 6 RKDLTFLGKD 12 5 IRKDLTFLGK  9

TABLE XXXV-V1 A0201-10mers-254P1D6B1 Each peptide is a portion of SEQ ID NO: 3; each start position is specified, the length of peptide is 10 amino acids, and the end position for each peptide is the start position plus nine. Pos 1234567890 score  635 LIFPVESATL 27  343 LIITLPDNEV 25  345 ITLPDNEVEL 24  700 GLSSTSTLTV 24   39 NLETTRIMRV 23  112 QLLDYGDMML 23  326 TTAPRTVKEL 23  338 SAGDNLIITL 23  677 AIATVTGLQV 23  828 QLTEQRKDTL 23  862 DLSTVIVFYV 23    6 GVLSSLLLLV 22  436 AVVSPQLQEL 22  539 ITLPQNSITL 22  576 VMQGVQTPYL 22  729 LVLPNNSITL 22  820 LTLQVGVGQL 22  836 TLVRQLAVLL 22  961 VLAFTLIVLT 22 1000 NMDEQERMEL 22   11 LLLLVTIAGC 21  429 RVNLPPVAVV 21  441 QLQELTLPLT 21  722 RAGGRHVLVL 21  835 DTLVRQLAVL 21  843 VLLNVLDSDI 21  905 VLRVDTAGCL 21    7 VLSSLLLLVT 20   45 IMRVSHTFPV 20  120 MLNRGSPSGI 20  128 GIWGDSPEDI 20  247 VLEKEKASQL 20  278 ASLELSSVTV 20  286 TVEKSPVLTV 20  398 LSVGLYVFKV 20  431 NLPPVAVVSP 20  445 LTLPLTSALI 20  692 RLTVKDQQGL 20  775 ALQLTNLVEG 20  797 GASDTDTATV 20  857 IRAHSDLSTV 20  892 RLSKEKADFL 20  960 TVLAFTLIVL 20  988 KIRKKTKYTI 20  217 YLNESASTPA 19  269 LMPSHSLPPA 19  391 QTLNLSQLSV 19  413 NAFGEGFVNV 19  765 DVIDGSDHSV 19  773 SVALQLTNLV 19  776 LQLTNLVEGV 19  901 LLFKVLRVDT 19 1054 SMNGSIRNGA 19    2 APPTGVLSSL 18    8 LSSLLLLVTI 18   12 LLLVTIAGCA 18   34 AVISPNLETT 18   98 SYLTFVLRPV 18  228 KLPERSVLLP 18  274 SLPPASLELS 18  295 VTPGSTEHSI 18  516 TAALIVNNAV 18  532 NAGPNHTITL 18  560 VLYEWSLGPG 18  606 RQQSTAVVTV 18  627 AVAGPDKELI 18  654 GIVFYHWEHV 18  672 ENIDKAIATV 18  721 ARAGGRHVLV 18  817 LVELTLQVGV 18  870 YVQSRPPFKV 18  950 SNCEWSIFYV 18  967 IVLTGGFTWL 18   94 GPIRSYLTFV 17  273 HSLPPASLEL 17  355 KAFVAPAPPV 17  357 FVAPAPPVET 17  393 LNLSQLSVGL 17  423 TVKPARRVNL 17  444 ELTLPLTSAL 17  452 ALIDGSQSTD 17  510 GATNSTTAAL 17  511 ATNSTTAALI 17  530 VANAGPNHTI 17  537 HTITLPQNSI 17  727 HVLVLPNNSI 17  781 LVEGVYTFHL 17  811 DPRKSGLVEL 17  816 GLVELTLQVG 17  839 RQLAVLLNVL 17  848 LDSDIKVQKI 17  969 LTGGFTWLCI 17 1006 RMELRPKYGI 17   92 KMGPIRSYLT 16  167 LLQPSGKQEP 16  178 GSAEYTDWGL 16  186 GLLPGSEGAF 16  187 LLPGSEGAFN 16  209 TQQDPELHYL 16  229 LPERSVLLPL 16  284 SVTVEKSPVL 16  312 APSESTPSEL 16  334 ELTVSAGDNL 16  384 EIKQGHKQTL 16  400 VGLYVFKVTV 16  401 GLYVFKVTVS 16  415 FGEGFVNVTV 16  426 PARRVNLPPV 16  482 TSVDSPVLRL 16  518 ALIVNNAVDY 16  565 SLGPGSEGKH 16  626 VAVAGPDKEL 16  675 DKAIATVTGL 16  799 SDTDTATVEV 16  838 VRQLAVLLNV 16  856 KIRAHSDLST 16  879 VLKAAEVARN 16  896 EKADFLLFKV 16  899 DFLLFKVLRV 16  900 FLLFKVLRVD 16  939 NLIQRYIWDG 16  955 SIFYVTVLAF 16  959 VTVLAFTLIV 16  965 TLIVLTGGFT 16 1019 STEHNSSLMV 16    5 TGVLSSLLLL 15   10 SLLLLVTIAG 15   63 DLSSCDLAWW 15   95 PIRSYLTFVL 15  103 VLRPVQRPAQ 15  149 GLEEMSEYSD 15  154 SEYSDDYREL 15  234 VLLPLPTTPS 15  235 LLPLPTTPSS 15  255 QLQEQSSNSS 15  268 VLMPSHSLPP 15  276 PPASLELSSV 15  279 SLELSSVTVE 15  303 SIPTPPTSAA 15  328 APRTVKELTV 15  335 LTVSAGDNLI 15  346 TLPDNEVELK 15  358 VAPAPPVETT 15  392 TLNLSQLSVG 15  459 STDDTEIVSY 15  464 EIVSYHWEEI 15  488 VLRLSNLDPG 15  515 TTAALIVNNA 15  524 AVDYPPVANA 15  630 GPDKELIFPV 15  668 AVEMENIDKA 15  720 RARAGGRHVL 15  728 VLVLPNNSIT 15  730 VLPNNSITLD 15  735 SITLDGSRST 15  743 STDDQRIVSY 15  752 YLWIRDGQSP 15  754 WIRDGQSPAA 15  766 VIDGSDHSVA 15  767 IDGSDHSVAL 15  789 HLRVTDSQGA 15  813 RKSGLVELTL 15  815 SGLVELTLQV 15  829 LTEQRKDTLV 15  859 AHSDLSTVIV 15  873 SRPPFKVLKA 15  926 LTKRCICSHL 15  934 HLWMENLIQR 15  936 WMENLIQRYI 15  952 CEWSIFYVTV 15   26 SEGRTYSNAV 14   31 YSNAVISPNL 14   71 WWFEGRCYLV 14   91 KKMGPIRSYL 14  104 LRPVQRPAQL 14  135 EDIRKDLPFL 14  141 LPFLGKDWGL 14  143 FLGKDWGLEE 14  179 SAEYTDWGLL 14  190 GSEGAFNSSV 14  266 KEVLMPSHSL 14  323 ISPTTAPRTV 14  366 TTYNYEWNLI 14  389 HKQTLNLSQL 14  394 NLSQLSVGLY 14  438 VSPQLQELTL 14  451 SALIDGSQST 14  472 EINGPFIEEK 14  475 GPFIEEKTSV 14  494 LDPGNYSFRL 14  502 RLTVTDSDGA 14  519 LIVNNAVDYP 14  540 TLPQNSITLN 14  557 HQIVLYEWSL 14  584 YLHLSAMQEG 14  604 SSRQQSTAVV 14  617 VQPENNRPPV 14  662 HVRGPSAVEM 14  684 LQVGTYHFRL 14  702 SSTSTLTVAV 14  744 TDDQRIVSYL 14  772 HSVALQLTNL 14  784 GVYTFHLRVT 14  821 TLQVGVGQLT 14  832 QRKDTLVRQL 14  840 QLAVLLNVLD 14  842 AVLLNVLDSD 14  845 LNVLDSDIKV 14  880 LKAAEVARNL 14  913 CLLKCSGHGH 14  962 LAFTLIVLTG 14  997 ILDNMDEQER 14 1103 SEFDSDQDTI 14    1 MAPPTGVLSS 13   13 LLVTIAGCAR 13   35 VISPNLETTR 13   50 HTFPVVDCTA 13   60 ACCDLSSCDL 13   78 YLVSCPHKEN 13  119 MMLNRGSPSG 13  198 SVGDSPAVPA 13  206 PAETQQDPEL 13  223 STPAPKLPER 13  225 PAPKLPERSV 13  227 PKLPERSVLL 13  238 LPTTPSSGEV 13  260 SSNSSGKEVL 13  281 ELSSVTVEKS 13  285 VTVEKSPVLT 13  336 TVSAGDNLII 13  337 VSAGDNLIIT 13  352 VELKAFVAPA 13  395 LSQLSVGLYV 13  403 YVFKVTVSSE 13  411 SENAFGEGFV 13  414 AFGEGFVNVT 13  421 NVTVKPARRV 13  428 RRVNLPPVAV 13  485 DSPVLRLSNL 13  521 VNNAVDYPPV 13  547 TLNGNQSSDD 13  566 LGPGSEGKHV 13  633 KELIFPVESA 13  634 ELIFPVESAT 13  679 ATVTGLQVGT 13  705 STLTVAVKKE 13  778 LTNLVEGVYT 13  808 VQPDPRKSGL 13  844 LLNVLDSDIK 13  847 VLDSDIKVQK 13  884 EVARNLHMRL 13  893 LSKEKADFLL 13  897 KADFLLFKVL 13  906 LRVDTAGCLL 13  944 YIWDGESNCE 13  956 IFYVTVLAFT 13  957 FYVTVLAFTL 13  958 YVTVLAFTLI 13 1025 SLMVSESEFD 13 1044 EKMERGNPKV 13

TABLE XXXV-V2 HLA-A0201-10mers-254P16B Each peptide is a portion of SEQ ID NO: 5; each start position is specified, the length of peptide is 10 amino acids, and the end position for each peptide is the start position plus nine. Pos 1234567890 score  7 SEYADDYREL 15  2 GLEEMSEYAD 14  9 YADDYRELEK 10  1 WGLEEMSEYA  8  5 EMSEYADDYR  7 10 ADDYRELEKD  7

TABLE XXXV-V3 HLA-A0201-10mers-254P16B Each peptide is a portion of SEQ ID NO: 7; each start position is specified, the length of peptide is 10 amino acids, and the end position for each peptide is the start position plus nine. Pos 1234567890 score 3 RLGWPSPCCA 14 4 LGWPSPCCAR  6

TABLE XXXV-V5 HLA-A0201-10mers-254P16B Each peptide is a portion of SEQ ID NO: 11; each start position is specified, the length of peptide is 10 amino acids, and the end position for each peptide is the start position plus nine. Pos 1234567890 score 9 LTFLGKDWGL 18 3 EDIRKDLTFL 13

TABLE XXXVI-V1 HLA-A0203-10mers-254P1D6B Each peptide is a portion of SEQ ID NO: 3; each start position is specified, the length of peptide is 10 amino acids, and the end position for each peptide is the start position plus nine, Pos 1234567890 score   51 TFPVVDCTAA 19  303 SIPTPPTSAA 19  509 DGATNSTTAA 19  754 WIRDGQSPAA 19  874 RPPFKVLKAA 19  352 VELKAFVAPA 18  524 AVDYPPVANA 18  620 ENNRPPVAVA 18  670 EMENIDKAIA 18  714 ENNSPPRARA 18   52 FPVVDCTAAC 17  304 IPTPPTSAAP 17  510 GATNSTTAAL 17  755 IRDGQSPAAG 17  875 PPFKVLKAAE 17    9 SSLLLLVTIA 10   12 LLLVTIAGCA 10   25 CSEGRTYSNA 10   50 HTFPVVDCTA 10   61 CCDLSSCDLA 10  102 FVLRPVQRPA 10  171 SGKQEPRGSA 10  185 WGLLPGSEGA 10  195 FNSSVGDSPA 10  198 SVGDSPAVPA 10  213 PELHYLNESA 10  217 YLNESASTPA 10  244 SGEVLEKEKA 10  269 LMPSHSLPPA 10  302 HSIPTPPTSA 10  319 SELPISPTTA 10  330 RTVKELTVSA 10  347 LPDNEVELKA 10  350 NEVELKAFVA 10  405 FKVTVSSENA 10  418 GFVNVTVKPA 10  427 ARRVNLPPVA 10  443 QELTLPLTSA 10  502 RLTVTDSDGA 10  508 SDGATNSTTA 10  515 TTAALIVNNA 10  522 NNAVDYPPVA 10  580 VQTPYLHLSA 10  602 TDSSRQQSTA 10  618 QPENNRPPVA 10  633 KELIFPVESA 10  659 HWEHVRGPSA 10  668 AVEMENIDKA 10  701 LSSTSTLTVA 10  712 KKENNSPPRA 10  753 LWIRDGQSPA 10  766 VIDGSDHSVA 10  789 HLRVTDSQGA 10  795 SQGASDTDTA 10  833 RKDTLVRQLA 10  850 SDIKVQKIRA 10  873 SRPPFKVLKA 10  877 FKVLKAAEVA 10  889 LHMRLSKEKA 10  902 LFKVLRVDTA 10  954 WSIFYVTVLA 10 1054 SMNGSIRNGA 10   10 SLLLLVTIAG  9   13 LLVTIAGCAR  9   26 SEGRTYSNAV  9   62 CDLSSCDLAW  9  103 VLRPVQRPAQ  9  172 GKQEPRGSAE  9  186 GLLPGSEGAF  9  196 NSSVGDSPAV  9  199 VGDSPAVPAE  9  214 ELHYLNESAS  9  218 LNESASTPAP  9  245 GEVLEKEKAS  9  270 MPSHSLPPAS  9  320 ELPISPTTAP  9  331 TVKELTVSAG  9  348 PDNEVELKAF  9  351 EVELKAFVAP  9  353 ELKAFVAPAP  9  406 KVTVSSENAF  9  419 FVNVTVKPAR  9  428 RRVNLPPVAV  9  444 ELTLPLTSAL  9  503 LTVTDSDGAT  9  516 TAALIVNNAV  9  523 NAVDYPPVAN  9  525 VDYPPVANAG  9  581 QTPYLHLSAM  9  603 DSSRQQSTAV  9  619 PENNRPPVAV  9  621 NNRPPVAVAG  9  634 ELIFPVESAT  9  660 WEHVRGPSAV  9  669 VEMENIDKAI  9  671 MENIDKAIAT  9  702 SSTSTLTVAV  9  713 KENNSPPRAR  9  715 NNSPPRARAG  9  767 IDGSDHSVAL  9  790 LRVTDSQGAS  9  796 QGASDTDTAT  9  834 KDTLVRQLAV  9  851 DIKVQKIRAH  9  878 KVLKAAEVAR  9  890 HMRLSKEKAD  9  903 FKVLRVDTAG  9  955 SIFYVTVLAF  9 1055 MNGSIRNGAS  9

TABLE XXXVI-V2 HLA-A0203-10mers-254P1D6B Each peptide is a portion of SEQ ID NO: 5; each start position is specified, the length of peptide is 10 amino acids, and the end position for each peptide is the start position plus nine. Pos 1234567890 score 1 WGLEEMSEYA 10 2 GLEEMSEYAD  9 3 LEEMSEYADD  8

TABLE XXXVI-V3 HLA-A0203-10mers-254P1D6B Each peptide is a portion of SEQ ID NO: 7; each start position is specified, the length of peptide is 10 amino acids, and the end position for each peptide is the start position plus nine. Pos 1234567890 score 3 RLGWPSPCCA 10 4 LGWPSPCCAR  9 5 GWPSPCCARK  8

TABLE XXXVI-V5 HLA-A0203-10mers-254P1D6B Pos 1234567890 score No Results Found.

TABLE XXXVII-V1 HLA-A3-10mers-254P1D6B Each peptide is a portion of SEQ ID NO: 3; each start position is specified, the length of peptide is 10 amino acids, and the end position for each peptide is the start position plus nine. Pos 1234567890 score  518 ALIVNNAVDY 29  847 VLDSDIKVQK 27  907 RVDTAGCLLK 27  397 QLSVGLYVFK 26   14 LVTIAGCARK 24  452 ALIDGSQSTD 24  777 QLTNLVEGVY 24  878 KVLKAAEVAR 24   47 RVSHTFPVVD 23  490 RLSNLDPGNY 23  680 TVTGLQYGTY 23  791 RVTDSQGASD 23 1008 ELRPKYGIKH 23  429 RVNLPPVAVV 22  662 HVRGPSAVEM 22  872 QSRPPFKVLK 22  186 GLLPGSEGAF 21  346 TLPDNEVELK 21  504 TVTDSDGATN 21  677 AIATVIGLQV 21  856 KIRAHSDLST 21  904 KVLRVDTAGC 21 1058 SIRNGASFSY 21   34 AVISPNLETT 20   35 VISPNLETTR 20  233 SVLLPLPTTP 20  292 VLTVTPGSTE 20  472 EINGPFIEEK 20  493 NLDPGNYSFR 20  655 IVFYHWEHVR 20  694 TVKDQQGLSS 20  805 TVEVQPDPRK 20  825 GVGQLTEQRK 20  836 TLVRQLAVLL 20  844 LLNVLDSDIK 20  886 ARNLHMRLSK 20  888 NLHMRLSKEK 20   76 RCYLVSCPHK 19  198 SVGDSPAVPA 19  247 VLEKEKASQL 19  357 FVAPAPPVET 19  401 GLYVFKVTVS 19  423 TVKPARRVNL 19  431 NLPPVAVVSP 19  565 SLGPGSEGKH 19  586 HLSAMQEGDY 19  687 GTYHFRLTVK 19  729 LVLPNNSITL 19  865 TVIVFYVQSR 19  895 KEKADFLLFK 19  913 CLLKCSGHGH 19   13 LLVTIAGCAR 18  103 VLRPVQRPAQ 18  166 DLLQPSGKQE 18  187 LLPGSEGAFN 18  246 EVLEKEKASQ 18  359 APAPPVETTY 18  392 TLNLSQLSVG 18  406 KVTVSSENAF 18  487 PVLRLSNLDP 18  600 KVTDSSRQQS 18  635 LIFPVESATL 18  703 STSTLTVAVK 18  704 TSTLTVAVKK 18  775 ALQLTNLVEG 18  784 GVYTFHLRVT 18  819 ELTLQVGVGQ 18  842 AVLLNVLDSD 18  853 KVQKIRAHSD 18  919 GHGHCDPLTK 18  960 TVLAFTLIVL 18  983 RQKRTKIRKK 18  988 KIRKKTKYTI 18 1043 REKMERGNPK 18    7 VLSSLLLLVT 17   22 RKQCSEGRTY 17   53 PVVDCTAACC 17  112 QLLDYGDMML 17  120 MLNRGSPSGI 17  137 IRKDLPFLGK 17  228 KLPERSVLLP 17  279 SLELSSVTVE 17  286 TVEKSPVLTV 17  324 SPTTAPRTVK 17  353 ELKAFVAPAP 17  394 NLSQLSVGLY 17  446 TLPLTSALID 17  559 IVLYEWSLGP 17  575 VVMQGYQTPY 17  614 TVIVQPENNR 17  634 ELIFPVESAT 17  700 GLSSTSTLTV 17  710 AVKKENNSPP 17  766 VIDGSDHSVA 17  828 QLTEQRKDTL 17  840 QLAVLLNVLD 17  846 NVLDSDIKVQ 17  892 RLSKEKADFL 17  905 VLRVDTAGCL 17  934 HLWMENLIQR 17  955 SIFYVTVLAF 17  965 TLIVLTGGFT 17  985 KRTKIRKKTK 17  997 ILDNMDEQER 17   11 LLLLVTIAGC 16   12 LLLVTIAGCA 16   44 RIMRVSHTFP 16  106 PVQRPAQLLD 16  143 FLGKDWGLEE 16  219 NESASTPAPK 16  234 VLLPLPTTPS 16  268 VLMPSHSLPP 16  280 LELSSVTVEK 16  291 PVLTVTPGST 16  331 TVKELTVSAG 16  351 EVELKAEVAP 16  399 SVGLYYFKVT 16  430 VNLPPVAVVS 16  524 AVDYPPYANA 16  560 VLYEWSLGPG 16  598 QLKVTDSSRQ 16  627 AVAGPDKELI 16  673 NIDKAIATVT 16  752 YLWIRDGQSP 16  765 DVIDGSDHSV 16  780 NLVEGVYTFH 16  807 EVQPDPRKSG 16  837 LVRQLAVLLN 16  843 VLLNVLDSDI 16  879 VLKAAEVARN 16  900 FLLFKVLRVD 16  925 PLTKRCICSH 16  966 LIVLTGGFTW 16  967 IVLTGGFTWL 16  976 LCICCCKRQK 16 1007 MELRPKYGIK 16    6 GVLSSLLLLV 15   10 SLLLLYIIAG 15   16 TIAGCARKQC 15   95 PIRSYLIFVL 15   99 YLTFVLRPVQ 15  102 FVLRPYQRPA 15  107 VQRPAQLLDY 15  164 EKDLLQPSGK 15  173 KQEPRGSAEY 15  204 AVPAETQQDP 15  255 QLQEQSSNSS 15  257 QEQSSNSSGK 15  267 EVLMPSHSLP 15  284 SVTVEKSPVL 15  336 TVSAGDNLII 15  342 NLIITLPDNE 15  344 IITLPDNEVE 15  403 YVFKVTVSSE 15  416 GEGFVNVTVK 15  419 FVNVTVKPAR 15  444 ELTLPLTSAL 15  547 TLNGNQSSDD 15  616 IVQPENNRPP 15  624 PPVAVAGPDK 15  643 TLDGSSSSDD 15  816 GLVELTLQVG 15  817 LVELTLQVGV 15  884 EVARNLHMRL 15  901 LLFKVLRVDT 15  961 VLAFTLIVLT 15   41 ETTRIMRVSH 14   63 DLSSCDLAWW 14  156 YSDDYRELEK 14  214 ELHYLNESAS 14  274 SLPPASLELS 14  278 ASLELSSVTV 14  322 PISPTTAPRT 14  377 HPTDYQGEIK 14  459 STDDTEIVSY 14  488 VLRLSNLDPG 14  502 RLTVTDSDGA 14  558 QIVLYEWSLG 14  564 WSLGPGSEGK 14  574 HVVMQGVQTP 14  621 NNRPPVAVAG 14  683 GLQVGTYHFR 14  692 RLTVKPQQGL 14  720 RARAGGRHVL 14  727 HVLVLPNNSI 14  728 VLVLPNNSIT 14  743 STDDQRIVSY 14  830 TEQRKDTLVR 14  851 DIKVQKIRAH 14  979 CCCKRQKRTK 14  996 TILDNMDEQE 14

TABLE XXXVII-V2 HLA-A3-10mers-254P1D6B Each peptide is a portion of SEQ ID NO: 5; each start position is specified, the length of peptide is 10 amino acids, and the end position for each peptide is the start position plus nine. Pos 1234567890 score 9 YADDYRELEK 14 2 GLEEMSEYAD 12 4 EEMSEYADDY  9 7 SEYADDYREL  7

TABLE XXXVII-V3 HLA-A3-10mers-254P1D6B Each peptide is a portion of SEQ ID NO: 7; each start position is specified, the length of peptide is 10 amino acids, and the end position for each peptide is the start position plus nine. Pos 1234567890 score  3 RLGWPSPCCA 15  5 GWPSPCCARK 13  1 MTRLGWPSPC  8  4 LGWPSPCCAR  8 10 CCARKQCSEG  7

TABLE XXXVII-V5 HLA-A3-10mers-254P1D6B Each peptide is a portion of SEQ ID NO: 11; each start position is specified, the length of peptide is 10 amino acids, and the end position for each peptide is the start position plus nine. Pos 1234567890 score 5 IRKDLTFLGK 17 2 PEDIRKDLTF 12 4 DIRKDLTFLG 11 8 DLTFLGKDWG 11 7 KDLTFLGKDW  8

TABLE XXXVIII-V1 HLA-A26-10mers-254P1D6B Each peptide is a portion of SEQ ID NO: 3; each start position is specified, the length of peptide is 10 amino acids, and the end position for each peptide is the start position plus nine. Pos 1234567890 score  208 ETQQDPELHY 29  680 TVTGLQVGTY 28  835 DTLVRQLAVL 28  884 EVARNLHMRL 28  365 ETTYNYEWNL 27  436 AVVSPQLQEL 27  135 EDIRKDLPFL 26  459 STDDTEIVSY 25  743 STDDQRIVSY 25  765 DVIDGSDHSV 24  960 TVLAFTLIVL 24  246 EVLEKEKASQ 23  384 EIKQGHKQTL 23  955 SIFYVTVLAF 23  326 TTAPRTVKEL 22  807 EVQPDPRKSG 22  820 LTLQVGVGQL 22  953 EWSIFYVTVL 22  151 EEMSEYSDDY 21  267 EVLMPSHSLP 21  351 EVELKAFVAP 21  444 ELTLPLTSAL 21  485 DSPVLRLSNL 21  729 LVLPNNSITL 21  949 ESNCEWSIFY 21 1038 DTIFSREKME 21   34 AVISPNLETT 20   41 ETTRIMRVSH 20  220 ESASTPAPKL 20  284 SVTVEKSPVL 20  334 ELTVSAGDNL 20  403 YVFKVTVSSE 20  406 KVTVSSENAF 20  423 TVKPARRVNL 20  480 EKTSVDSPVL 20  575 VVMQGVQTPY 20  672 ENIDKAIATV 20  675 DKAIATVTGL 20  800 DTDTATVEVQ 20  802 DTATVEVQPD 20  811 DPRKSGLVEL 20  865 TVIVFYVQSR 20  909 DTAGCLLKCS 20  147 DWGLEEMSEY 19  239 PTTPSSGEVL 19  331 TVKELTVSAG 19  464 EIVSYHWEEI 19  482 TSVDSPVLRL 19  539 ITLPQNSITL 19  574 HVVMQGVQTP 19  986 RTKIRKKTKY 19 1032 EFDSDQDTIF 19    5 TGVLSSLLLL 18  132 DSPEDIRKDL 18  159 DYRELEKDLL 18  472 EINGPFIEEK 18  611 AVVTVIVQPE 18  635 LIFPVESATL 18  781 LVEGVYTFHL 18  967 IVLTGGFTWL 18    4 PTGVLSSLLL 17  181 EYTDWGLLPG 17  286 TVEKSPVLTV 17  345 ITLPDNEVEL 17  851 DIKVQKIRAH 17  926 LTKRCICSHL 17  964 FTLIVLTGGF 17    6 GVLSSLLLLV 16  107 VQRPAQLLDY 16  158 DDYRELEKDL 16  281 ELSSVTVEKS 16  315 ESTPSELPIS 16  338 SAGDNLIITL 16  462 DTEIVSYHWE 16  483 SVDSPVLRLS 16  553 SSDDHQIVLY 16  595 YTFQLKVTDS 16  634 ELIFPVESAT 16  649 SSDDHGIVFY 16  772 HSVALQLTNL 16  786 YTFHLRVTDS 16  861 SDLSTVIVFY 16  896 EKADFLLFKV 16  935 LWMENLIQRY 16 1047 ERGNPKVSMN 16 1058 SIRNGASFSY 16   29 RTYSNAVISP 15   53 PVVDCTAACC 15   74 EGRCYLVSCP 15   90 PKKMGPIRSY 15  348 PDNEVELKAF 15  394 NLSQLSVGLY 15  417 EGFVNVTVKP 15  471 EEINGPFIEE 15  504 TVTDSDGATN 15  614 TVIVQPENNR 15  638 PVESATLDGS 15  668 AVEMENIDKA 15  694 TVKDQQGLSS 15  783 EGVYTFHLRV 15  837 LVRQLAVLLN 15  842 AVLLNVLDSD 15  846 NVLDSDIKVQ 15    2 APPTGVLSSL 14   42 TTRIMRVSHT 14   43 TRIMRVSHTF 14   50 HTFPVVDCTA 14  162 ELEKDLLQPS 14  209 TQQDPELHYL 14  285 VTVEKSPVLT 14  389 HKQTLNLSQL 14  396 SQLSVGLYVF 14  429 RVNLPPVAVV 14  503 LTVTDSDGAT 14  514 STTAALIVNN 14  518 ALIVNNAVDY 14  524 AVDYPPVANA 14  579 GVQTPYLHLS 14  581 QTPYLHLSAM 14  609 STAVVTVIVQ 14  620 ENNRPPVAVA 14  655 IVFYHWEHVR 14  661 EHVRGPSAVE 14  705 STLTVAVKKE 14  744 TDDQRIVSYL 14  749 IVSYLWIRDG 14  779 TNLVEGVYTF 14  784 GVYTFHLRVT 14  791 RVTDSQGASD 14  804 ATVEVQPDPR 14  823 QVGVGQLTEQ 14  831 EQRKDTLVRQ 14  832 QRKDTLVRQL 14  864 STVIVFYVQS 14  867 IVFYVQSRPP 14  906 LRVDTAGCLL 14 1003 EQERMEKRPK 14 1008 ELRPKYGIKH 14

TABLE XXXVIII-V2 HLA-A26-10mers-254P1D6B Each peptide is a portion of SEQ ID NO: 5; each start position is specified, the length of peptide is 10 amino acids, and the end position for each peptide is the start position plus nine. Pos 1234567890 score 4 EEMSEYADDY 21 5 EMSEYADDYR 12 8 EYADDYRELE 11

TABLE XXXVIII-V3 HLA-A26-10mers-254P1D6B Each peptide is a portion of SEQ ID NO: 7; each start position is specified, the length of peptide is 10 amino acids, and the end position for each peptide is the start position plus nine. Pos 1234567890 score 1 MTRLGWPSPC 9

TABLE XXXVIII-V5 HLA-A26-10mers-254P1D6B Each peptide is a portion of SEQ ID NO: 11; each start position is specified, the length of peptide is 10 amino acids, and the end position for each peptide is the start position plus nine. Pos 1234567890 score 3 EDIRKDLTFL 26 9 LTFLGKDWGL 20 4 DIRKDLTFLG 12

TABLE XXXIX-V1 HLA-B0702-10mers-254P1D6B Each peptide is a portion of SEQ ID NO: 3; each start position is specified, the length of peptide is 10 amino acids, and the end position for each peptide is the start position plus nine. Pos 1234567890 score  811 DPRKSGLVEL 25  226 APKLPERSVL 24  312 APSESTPSEL 24  229 LPERSVLLPL 23    2 APPTGVLSSL 22    3 PPTGVLSSLL 22  328 APRTVKELTV 22  433 PPVAVVSPQL 22  105 RPVQRPAQLL 21  141 LPFLGKDWGL 20  317 TPSELPISPT 19  347 LPDNEVELKA 19  630 GPDKELIFPV 19  665 GPSAVEMENI 19   94 GPIRSYLTFV 18  495 DPGNYSFRLT 18  567 GPGSEGKHVV 18  618 QPENNRPPVA 18  722 RAGGRHVLVL 18  809 QPDPRKSGLV 18  874 RPPFKVLKAA 18   37 SPNLETTRIM 17  276 PPASLELSSV 17  475 GPFIEEKTSV 17  813 RKSGLVELTL 17  238 LPTTPSSGEV 16  720 RARAGGRHVL 16  953 EWSIFYVTVL 16 1050 NPKVSMNGSI 16   91 KKMGPIRSYL 15  169 QPSGKQEPRG 15  175 EPRGSAEYTD 15  241 TPSSGEVLEK 15  359 APAPPVETTY 15  386 KQGHKQTLNL 15  425 KPARRVNLPP 15  767 IDGSDHSVAL 15  892 RLSKEKADFL 15   95 PIRSYLTFVL 14  125 SPSGIWGDSP 14  270 MPSHSLPPAS 14  304 IPTPPTSAAP 14  345 ITLPDNEVEL 14  423 TVKPARRVNL 14  440 PQLQELTLPL 14  534 GPNHTITLPQ 14  576 VMQGVQTPYL 14  871 VQSRPPFKVL 14  897 KADFLLFKVL 14    4 PTGVLSSLLL 13   52 FPVVDCTAAC 13   70 AWWFEGRCYL 13  135 EDIRKDLPFL 13  220 ESASTPAPKL 13  227 PKLPERSVLL 13  273 HSLPPASLEL 13  275 LPPASLELSS 13  321 LPISPTTAPR 13  324 SPTTAPRTVK 13  326 TTAPRTVKEL 13  361 APPVETTYNY 13  444 ELTLPLTSAL 13  480 EKTSVDSPVL 13  482 TSVDSPVLRL 13  510 GATNSTTAAL 13  532 NAGPNHTITL 13  541 LPQNSITLNG 13  552 QSSDDHQIVL 13  590 MQEGDYTFQL 13  637 FPVESATLDG 13  675 DKAIATVTGL 13  718 PPRARAGGRH 13  721 ARAGGRHVLV 13  731 LPNNSITLDG 13  760 SPAAGDVIDG 13  769 GSDHSVALQL 13  781 LVEGVYTFHL 13  839 RQLAVLLNVL 13  859 AHSDLSTVIV 13  875 PPFKVLKAAE 13  931 ICSHLWMENL 13  967 IVLTGGFTWL 13  989 IRKKTKYTIL 13    5 TGVLSSLLLL 12   31 YSNAVISPNL 12   60 ACCDLSSCDL 12   82 CPHKENCEPK 12   89 EPKKMGPIRS 12  109 RPAQLLDYGD 12  159 DYRELEKDLL 12  202 SPAVPAETQQ 12  205 VPAETQQDPE 12  224 TPAPKLPERS 12  231 ERSVLLPLPT 12  239 PTTPSSGEVL 12  284 SVTVEKSPVL 12  290 SPVLTVTPGS 12  393 LNLSQLSVGL 12  427 ARRVNLPPVA 12  432 LPPVAVVSPQ 12  436 AVVSPQLQEL 12  438 VSPQLQELTL 12  494 LDPGNYSFRL 12  528 PPVANAGPNH 12  531 ANAGPNHTIT 12  539 ITLPQNSITL 12  578 QGVQTPYLHL 12  623 RPPVAVAGPD 12  624 PPVAVAGPDK 12  635 LIFPVESATL 12  662 HVRGPSAVEM 12  684 LQVGTYHFRL 12  698 QQGLSSTSTL 12  744 TDDQRIVSYL 12  772 HSVALQLTNL 12  835 DTLVRQLAVL 12  836 TLVRQLAVLL 12  856 KIRAHSDLST 12  880 LKAAEVARNL 12  884 EVARNLHMRL 12  905 VLRVDTAGCL 12  917 CSGHGHCDPL 12  960 TVLAFTLIVL 12 1000 NMDEQERMEL 12 1017 HRSTEHNSSL 12 1046 MERGNPKVSM 12

TABLE XXXIX-V2 HLA-B0702-10mers-254P1D6B Each peptide is a portion of SEQ ID NO: 5; each start position is specified, the length of peptide is 10 amino acids, and the end position for each peptide is the start position plus nine. Pos 1234567890 score 7 SEYADDYREL 11 1 WGLEEMSEYA  6

TABLE XXXIX-V3 HLA-B0702-10mers-254P1D6B Each peptide is a portion of SEQ ID NO: 7; each start position is specified, the length of peptide is 10 amino acids, and the end position for each peptide is the start position plus nine. Pos 1234567890 score 6 WPSPCCARKQ 13 8 SPCCARKQCS 10 3 RLGWPSPCCA  8

TABLE XXXIX-V5 HLA-B0702-10mers-254P1D6B Each peptide is a portion of SEQ ID NO: 11; each start position is specified, the length of peptide is 10 amino acids, and the end position for each peptide is the start position plus nine. Pos 1234567890 score 1 SPEDIRKDLT 16 3 EDIRKDLTFL 13 9 LTFLGKDWGL 10 2 PEDIRKDLTF  9

TABLE XL-V1 HLA-B08-10mers-254P1D6B Pos 1234567890 score NoResultsFound.

TABLE XL-V2 HLA-B08-10mers-254P1D6B Pos 1234567890 score NoResultsFound.

TABLE XL-V3 HLA-B08-10mers-254P1D6B Pos 1234567890 score NoResultsFound.

TABLE XL-V5 HLA-B08-10mers-254P1D6B Pos 1234567890 score NoResultsFound.

TABLE XLI-V1 HLA-B1510-10mers-254P1D6B Pos 1234567890 score NoResultsFound.

TABLE XLI-V2 HLA-B1510-1Omers-254P1D6B Pos 1234567890 score NoResultsFound.

TABLE XLI-V3 HLA-B1510-10mers-254P1D6B Pos 1234567890 score NoResultsFound.

TABLE XLI-V5 HLA-B1510-10mers-254P1D6B Pos 1234567890 score NoResultsFound.

TABLE XLII-V1 HLA-B2705-10mers-254P1D6B Pos 1234567890 score NoResultsFound.

TABLE XLII-V2 HLA-B2705-10mers-254P1D6B Pos 1234567890 score NoResultsFound.

TABLE XLII-V3 HLA-B2705-10mers-254P1D6B Pos 1234567890 score NoResultsFound.

TABLE XLII-V5 HLA-B2705-10mers-254P1D6B Pos 1234567890 score NoResultsFound.

TABLE XLIII-V1 HLA-B2709-10mers-254P1D6B Pos 1234567890 score NoResultsFound.

TABLE XLIII-V2 HLA-B2709-10mers-254P1D6B Pos 1234567890 score NoResultsFound.

TABLE XLIII-V3 HLA-B2709-10mers-254P1D6B Pos 1234567890 score NoResultsFound.

TABLE XLIII-V5 HLA-B2709-10mers-254P1D6B Pos 1234567890 score NoResultsFound.

TABLE XLIV-V2 HLA-B4402-10mers-254P1D6B Each peptide is a portion of SEQ ID NO: 5; each start position is specified, the length of peptide is 10 amino acids, and the end position for each peptide is the start position plus nine. Pos 1234567890 score 4 EEMSEYADDY 24 7 SEYADDYREL 22

TABLE XLIV-V3 HLA-B4402-10mers-254P1D6B Each peptide is a portion of SEQ ID NO: 7; each start position is specified, the length of peptide is 10 amino acids, and the end position for each peptide is the start position plus nine. Pos 1234567890 score 6 WPSPCCARKQ 7 4 LGWPSPCCAR 5 7 PSPCCARKQC 5

TABLE XLIV-V5 HLA-B4402-10mers-254P1D6B Each peptide is a portion of SEQ ID NO: 11; each start position is specified, the length of peptide is 10 amino acids, and the end position for each peptide is the start position plus nine. Pos 1234567890 score 2 PEDIRKDLTF 23 3 EDIRKDLTFL 17 7 KDLTFLGKDW 15 9 LTFLGKDWGL 13

TABLE XLV-V1 HLA-B5101-10mers-254P1D6B Pos 1234567890 score NoResultsFound.

TABLE XLV-V2 HLA-B5101-10mers-254P1D6B Pos 1234567890 score NoResultsFound.

TABLE XLV-V3 HLA-B5101-10mers-254P1D6B Pos 1234567890 score NoResultsFound.

TABLE XLV-V5 HLA-B5101-10mers-254P1D6B Pos 1234567890 score NoResultsFound.

TABLE XLVI-v1 HLA-B5101-15mers-254P1D6B Pos 123456789012345 score NoResultsFound.

TABLE XLVI-V2 HLA-DRB1-0101-15mers-254P1D6B Each peptide is a portion of SEQ ID NO: 5; each start position is specified, the length of peptide is 15 amino acids, and the end position for each peptide is the start position plus fourteen. Pos 123456789012345 score 15 ADDYRELEKDLLQPS 29  4 KDWGLEEMSEYADDY 14  5 DWGLEEMSEYADDYR 14

TABLE XLVI-V3 HLA-DRB1-0101-15mers-254P1D6B Each peptide is a portion of SEQ ID NO: 7; each start position is specified, the length of peptide is 15 amino acids, and the end position for each peptide is the start position plus fourteen. Pos 123456789012345 score 1 MTRLGWPSPCCARKQ 22 9 PCCARKQCSEGRTYS 18 3 RLGWPSPCCARKQCS 10 4 LGWPSPCCARKQCSE 10

TABLE XLVI-V5 HLA-DRB1-0101-15mers-254P1D6B Each peptide is a portion of SEQ ID NO: 11; each start position is specified, the length of peptide is 15 amino acids, and the end position for each peptide is the start position plus fourteen. Pos 123456789012345 score 11 RKDLTFLGKDWGLEE 19  7 PEDIRKDLTFLGKDW 18 14 LTFLGKDWGLEEMSE 18  5 DSPEDIRKDLTFLGK 11  8 EDIRKDLTFLGKDWG 11 12 KDLTFLGKDWGLEEM 11 13 DLTFLGKDWGLEEMS 10 15 TFLGKDWGLEEMSEY 10  3 WGDSPEDIRKDLTFL  9  6 SPEDIRKDLTFLGKD  9 10 IRKDLTFLGKDWGLE  9

TABLE XLVII-V1 HLA-DRB1-0301-15MERS-254P1D6B Each peptide is a portion of SEQ ID NO: 3; each start position is specified, the length of peptide is 15 amino acids, and the end position for each peptide is the start position plus fourteen. Pos 123456789012345 score  184 DWGLLPGSEGAFNSS 29  903 FKVLRVDTAGCLLKC 29  343 LIITLPDNEVELKAF 28  404 VFKVTVSSENAFGEG 28  421 NVTVKPARRVNLPPV 28  805 TVEVQPDPRKSGLVE 28  845 LNVLDSDIKVQKIRA 28  626 VAVAGPDKELIFPVE 27 1030 ESEFDSDQDTIFSRE 27  206 PAETQQDPELHYLNE 26  382 QGEIKQGHKQTLNLS 26  690 HFRLTVKDQQGLSST 26  826 VGQLTEQRKDTLVRQ 26  998 LDNMDEQERMELRPK 26  130 WGDSPEDIRKDLPFL 25  775 ALQLTNLVEGVYTFH 25  550 GNQSSDDHQIVLYEW 24  573 KHVVMQGVQTPYLHL 24  584 YLHLSAMQEGDYTFQ 24  134 PEDIRKDLPFLGKDW 23  733 NNSITLDGSRSTDDQ 23  866 VIVFYVQSRPPFKVL 23  160 YRELEKDLLQPSGKQ 22  442 LQELTLPLTSALIDG 22  834 KDTLVRQLAVLLNVL 22   93 MGPIRSYLTFVLRPV 21  110 PAQLLDYGDMMLNRG 21  126 PSGIWGDSPEDIRKD 21  141 LPFLGKDWGLEEMSE 21  244 SGEVLEKEKASQLQE 21  434 PVAVVSPQLQELTLP 21  633 KELIFPVESATLDGS 21  727 HVLVLPNNSITLDGS 21  765 DVIDGSDHSVALQLT 21  965 TLIVLTGGFTWLCIC 21  282 LSSVTVEKSPVLTVT 20  332 VKELTVSAGDNLIIT 20  392 TLNLSQLSVGLYVFK 20  485 DSPVLRLSNLDPGNY 20  516 TAALIVNNAVDYPPV 20  543 QNSITLNGNQSSDDH 20  612 VVTVIVQPENNRPPV 20  725 GRHVLVLPNNSITLD 20  876 PFKVLKAAEVARNLH 20  888 NLHMRLSKEKADFLL 20  953 EWSIFYVTVLAFTLI 20  958 YVTVLAFTLIVLTGG 20   62 CDLSSCDLAWWFEGR 19  101 TFVLRPVQRPAQLLD 19  152 EMSEYSDDYRELEKD 19  165 KDLLQPSGKQEPRGS 19  245 GEVLEKEKASQLQEQ 19  435 VAVVSPQLQELTLPL 19  488 VLRLSNLDPGNYSFR 19  563 EWSLGPGSEGKHVVM 19  598 QLKVTDSSRQQSTAV 19  613 VTVIVQPENNRPPVA 19  678 IATVTGLQVGTYHFR 19  706 TLTVAVKKENNSPPR 19  788 FHLRVTDSQGASDTD 19  815 SGLVELTLQVGVGQL 19  838 VRQLAVLLNVLDSDI 19  882 AAEVARNLHMRLSKE 19  889 LHMRLSKEKADFLLF 19  890 HMRLSKEKADFLLFK 19  941 IQRYIWDGESNCEWS 19  975 WLCICCCKRQKRTKI 19 1024 SSLMVSESEFDSDQD 19 1056 NGSIRNGASFSYCSK 19   33 NAVISPNLETTRIMR 18   97 RSYLTFVLRPVQRPA 18  100 LTFVLRPVQRPAQLL 18  104 LRPVQRPAQLLDYGD 18  147 DWGLEEMSEYSDDYR 18  157 SDDYRELEKDLLQPS 18  342 NLIITLPDNEVELKA 18  450 TSALIDGSQSTDDTE 18  536 NHTITLPQNSITLNG 18  574 HVVMQGVQTPYLHLS 18  588 SAMQEGDYTFQLKVT 18  632 DKELIFPVESATLDG 18  646 GSSSSDDHGIVFYHW 18  691 FRLTVKDQQGLSSTS 18  726 RHVLVLPNNSITLDG 18  751 SYLWIRDGQSPAAGD 18  779 TNLVEGVYTFHLRVT 18  899 DFLLFKVLRVDTAGC 18  996 TILDNMDEQERMELR 18 1002 DEQERMELRPKYGIK 18 1004 QERMELRPKYGIKHR 18 1022 HNSSLMVSESEFDSD 18 1037 QDTIFSREKMERGNP 18   77 CYLVSCPHKENCEPK 17  138 RKDLPFLGKDWGLEE 17  153 MSEYSDDYRELEKDL 17  202 SPAVPAETQQDPELH 17  212 DPELHYLNESASTPA 17  224 TPAPKLPERSVLLPL 17  334 ELTVSAGDNLIITLP 17  417 EGFVNVTVKPARRVN 17  456 GSQSTDDTEIVSYHW 17  490 RLSNLDPGNYSFRLT 17  610 TAVVTVIVQPENNRP 17  614 TVIVQPENNRPPVAV 17  625 PVAVAGPDKELIFPV 17  668 AVEMENIDKAIATVT 17  704 TSTLTVAVKKENNSP 17  708 TVAVKKENNSPPRAR 17  740 GSRSTDDQRIVSYLW 17  823 QVGVGQLTEQRKDTL 17  864 STVIVFYVQSRPPFK 17  984 QKRTKIRKKTKYTIL 17  986 RTKIRKKTKYTILDN 17  995 YTILDNMDEQERMEL 17 1052 KVSMNGSIRNGASFS 17    4 PTGVLSSLLLLVTIA 16   14 LVTIAGCARKQCSEG 16   66 SCDLAWWFEGRCYLV 16  258 EQSSNSSGKEVLMPS 16  361 APPVETTYNYEWNLI 16  363 PVETTYNYEWNLISH 16  374 LISHPTDYQGEIKQG 16  463 TEIVSYHWEEINGPF 16  653 HGIVFYHWEHVRGPS 16  688 TYHFRLTVKDQQGLS 16  718 PPRARAGGRHVLVLP 16  739 DGSRSTDDQRIVSYL 16  934 HLWMENLIQRYIWDG 16   68 DLAWWFEGRCYLVSC 15  156 YSDDYRELEKDLLQP 15  265 GKEVLMPSHSLPPAS 15  357 FVAPAPPVETTYNYE 15  436 AVVSPQLQELTLPLT 15  466 VSYHWEEINGPFIEE 15  555 DDHQIVLYEWSLGPG 15  811 DPRKSGLVELTLQVG 15    8 LSSLLLLVTIAGCAR 14    9 SSLLLLVTIAGCARK 14   89 EPKKMGPIRSYLTFV 14  226 APKLPERSVLLPLPT 14  231 ERSVLLPLPTTPSSG 14  232 RSVLLPLPTTPSSGE 14  449 LTSALIDGSQSTDDT 14  556 DHQIVLYEWSLGPGS 14  572 GKHVVMQGVQTPYLH 14  771 DHSVALQLTNLVEGV 14  806 VEVQPDPRKSGLVEL 14  843 VLLNVLDSDIKVQKI 14 1015 IKHRSTEHNSSLMVS 14

TABLE XLVII-V2 HLA-DRB1-0301-15mers-254P1D6B Each peptide is a portion of SEQ ID NO: 5; each start position is specified, the length of peptide is 15 amino acids, and the end position for each peptide is the start position plus fourteen. Pos 123456789012345 score  5 DWGLEEMSEYADDYR 19 10 EMSEYADDYRELEKD 18 15 ADDYRELEKDLLQPS 18 11 MSEYADDYRELEKDL 17 14 YADDYRELEKDLLQP 15  8 LEEMSEYADDYRELE 11  3 GKDWGLEEMSEYADD 10  7 GLEEMSEYADDYREL  9

TABLE XLVII-V3 HLA-DRB1-0301-15mers-254P1D6B Each peptide is a portion of SEQ ID NO: 7; each start position is specified, the length of pep- tide is 15 amino acids, and the end position for each peptide is the start position plus fourteen. Pos 123456789012345 score  1 MTRLGWPSPCCARKQ 11 10 CCARKQCSEGRTYSN  8  6 WPSPCCARKQCSEGR  7  7 PSPCCARKQCSEGRT  7  5 GWPSPCCARKQCSEG  6

TABLE XLVII-V5 HLA-DRB1-0301-15mers-254P1D6B Each peptide is a portion of SEQ ID NO: 11; each start position is specified, the length of peptide is 15 amino acids, and the end position for each peptide is the start position plus fourteen. Pos 123456789012345 score  3 WGDSPEDIRKDLTFL 25  7 PEDIRKDLTFLGKDW 23 14 LTFLGKDWGLEEMSE 21 11 RKDLTFLGKDWGLEE 18 13 DLTFLGKDWGLEEMS 11

TABLE XLVIII-V1 HLA-DR1-0401-15mers-254P1D6B Each peptide is a portion of SEQ ID NO: 3; each start position is specified, the length of peptide is 15 amino acids, and the end position for each peptide is the start position plus fourteen. Pos 123456789012345 score   68 DLAWWFEGRCYLVSC 28  365 ETTYNYEWNLISHPT 28  751 SYLWIRDGQSPAAGD 28   90 PKKMGPIRSYLTFVL 26   97 RSYLTFVLRPVQRPA 26  101 TFVLRPVQRPAQLLD 26  232 RSVLLPLPTTPSSGE 26  282 LSSVTVEKSPVLTVT 26  421 NVTVKPARRVNLPPV 26  574 HVVMQGVQTPYLHLS 26  610 TAVVTVIVQPENNRP 26  633 KELIFPVESATLDGS 26  725 GRHVLVLPNNSITLD 26  733 NNSITLDGSRSTDDQ 26  779 TNLVEGVYTFHLRVT 26  842 AVLLNVLDSDIKVQK 26  899 DFLLFKVLRVDTAGC 26  934 HLWMENLIQRYIWDG 26   28 GRTYSNAVISPNLET 22   49 SHTFPVVDCTAACCD 22   96 IRSYLTFVLRPVQRP 22  153 MSEYSDDYRELEKDL 22  157 SDDYRELEKDLLQPS 22  369 NYEWNLISHPTDYQG 22  402 LYVFKVTVSSENAFG 22  416 GEGFVNVTVKPARRV 22  467 SYHWEEINGPFIEEK 22  474 NGPFIEEKTSVDSPV 22  524 AVDYPPVANAGPNHT 22  657 FYHWEHVRGPSAVEM 22  749 IVSYLWIRDGQSPAA 22  874 RPPFKVLKAAEVARN 22  897 KADFLLFKVLRVDTA 22  900 FLLFKVLRVDTAGCL 22  943 RYIWDGESNCEWSIF 22  951 NCEWSIFYVTVLAFT 22  955 SIFYVTVLAFTLIVL 22  992 KTKYTILDNMDEQER 22    5 TGVLSSLLLLVTIAG 20    8 LSSLLLLVTIAGCAR 20   12 LLLVTIAGCARKQCS 20   42 TTRIMRVSHTFPVVD 20   43 TRIMRVSHTFPVVDC 20   76 RCYLVSCPHKENCEP 20   93 MGPIRSYLTFVLRPV 20  100 LTFVLRPVQRPAQLL 20  126 PSGIWGDSPEDIRKD 20  160 YRELEKDLLQPSGKQ 20  202 SPAVPAETQQDPELH 20  212 DPELHYLNESASTPA 20  215 LHYLNESASTPAPKL 20  233 SVLLPLPTTPSSGEV 20  245 GEVLEKEKASQLQEQ 20  253 ASQLQEQSSNSSGKE 20  272 SHSLPPASLELSSVT 20  279 SLELSSVTVEKSPVL 20  289 KSPVLTVTPGSTEHS 20  292 VLTVTPGSTEHSIPT 20  301 EHSIPTPPTSAAPSE 20  334 ELTVSAGDNLIITLP 20  341 DNLIITLPDNEVELK 20  355 KAFVAPAPPVETTYN 20  371 EWNLISHPTDYQGEI 20  399 SVGLYVFKVTVSSEN 20  432 LPPVAVVSPQLQELT 20  435 VAVVSPQLQELTLPL 20  439 SPQLQELTLPLTSAL 20  442 LQELTLPLTSALIDG 20  446 TLPLTSALIDGSQST 20  485 DSPVLRLSNLDPGNY 20  500 SFRLTVTDSDGATNS 20  527 YPPVANAGPNHTITL 20  536 NHTITLPQNSITLNG 20  543 QNSITLNGNQSSDDH 20  557 HQIVLYEWSLGPGSE 20  596 TFQLKVTDSSRQQST 20  598 QLKVTDSSRQQSTAV 20  614 TVIVQPENNRPPVAV 20  636 IFPVESATLDGSSSS 20  666 PSAVEMENIDKAIAT 20  668 AVEMENIDKAIATVT 20  671 MENIDKAIATVTGLQ 20  675 DKAIATVTGLQVGTY 20  698 QQGLSSTSTLTVAVK 20  704 TSTLTVAVKKENNSP 20  708 TVAVKKENNSPPRAR 20  726 RHVLVLPNNSITLDG 20  727 HVLVLPNNSITLDGS 20  752 YLWIRDGQSPAAGDV 20  764 GDVIDGSDHSVALQL 20  771 DHSVALQLTNLVEGV 20  782 VEGVYTFHLRVTDSQ 20  787 TFHLRVTDSQGASDT 20  805 TVEVQPDPRKSGLVE 20  815 SGLVELTLQVGVGQL 20  823 QVGVGQLTEQRKDTL 20  835 DTLVRQLAVLLNVLD 20  838 VRQLAVLLNVLDSDI 20  841 LAVLLNVLDSDIKVQ 20  845 LNVLDSDIKVQKIRA 20  860 HSDLSTVIVFYVQSR 20  865 TVIVFYVQSRPPFKV 20  877 FKVLKAAEVARNLHM 20  882 AAEVARNLHMRLSKE 20  890 HMRLSKEKADFLLFK 20  902 LFKVLRVDTAGCLLK 20  903 FKVLRVDTAGCLLKC 20  905 VLRVDTAGCLLKCSG 20  956 IFYVTVLAFTLIVLT 20  958 YVTVLAFTLIVLTGG 20  963 AFTLIVLTGGFTWLC 20  998 LDNMDEQERMELRPK 20 1024 SSLMVSESEFDSDQD 20 1050 NPKVSMNGSIRNGAS 20 1052 KVSMNGSIRNGASFS 20    1 MAPPTGVLSSLLLLV 18    2 APPTGVLSSLLLLVT 18   21 ARKQCSEGRTYSNAV 18   29 RTYSNAVISPNLETT 18   34 AVISPNLETTRIMRV 18   35 VISPNLETTRIMRVS 18   58 TAACCDLSSCDLAWW 18  130 WGDSPEDIRKDLPFL 18  146 KDWGLEEMSEYSDDY 18  169 QPSGKQEPRGSAEYT 18  188 LPGSEGAFNSSVGDS 18  208 ETQQDPELHYLNESA 18  225 PAPKLPERSVLLPLP 18  252 KASQLQEQSSNSSGK 18  275 LPPASLELSSVTVEK 18  276 PPASLELSSVTVEKS 18  295 VTPGSTEHSIPTPPT 18  298 GSTEHSIPTPPTSAA 18  306 TPPTSAAPSESTPSE 18  322 PISPTTAPRTVKELT 18  328 APRTVKELTVSAGDN 18  358 VAPAPPVETTYNYEW 18  368 YNYEWNLISHPTDYQ 18  374 LISHPTDYQGEIKQG 18  379 TDYQGEIKQGHKQTL 18  389 HKQTLNLSQLSVGLY 18  403 YVFKVTVSSENAFGE 18  413 NAFGEGFVNVTVKPA 18  431 NLPPVAVVSPQLQEL 18  438 VSPQLQELTLPLTSA 18  443 QELTLPLTSALIDGS 18  449 LTSALIDGSQSTDDT 18  455 DGSQSTDDTEIVSYH 18  478 IEEKTSVDSPVLRLS 18  482 TSVDSPVLRLSNLDP 18  505 VTDSDGATNSTTAAL 18  514 STTAALIVNNAVDYP 18  535 PNHTITLPQNSITLN 18  549 NGNQSSDDHQIVLYE 18  550 GNQSSDDHQIVLYEW 18  570 SEGKHVVMQGVQTPY 18  588 SAMQEGDYTFQLKVT 18  597 FQLKVTDSSRQQSTA 18  606 RQQSTAVVTVIVQPE 18  639 VESATLDGSSSSDDH 18  645 DGSSSSDDHGIVFYH 18  691 FRLTVKDQQGLSSTS 18  695 VKDQQGLSSTSTLTV 18  739 DGSRSTDDQRIVSYL 18  740 GSRSTDDQRIVSYLW 18  762 AAGDVIDGSDHSVAL 18  765 DVIDGSDHSVALQLT 18  769 GSDHSVALQLTNLVE 18  788 FHLRVTDSQGASDTD 18  813 RKSGLVELTLQVGVG 18  825 GVGQLTEQRKDTLVR 18  831 EQRKDTLVRQLAVLL 18  832 QRKDTLVRQLAVLLN 18  853 KVQKIRAHSDLSTVI 18  856 KIRAHSDLSTVIVFY 18  857 IRAHSDLSTVIVFYV 18  880 LKAAEVARNLHMRLS 18  957 FYVTVLAFTLIVLTG 18  996 TILDNMDEQERMELR 18 1009 LRPKYGIKHRSTEHN 18 1015 IKHRSTEHNSSLMVS 18 1034 DSDQDTIFSREKMER 18 1035 SDQDTIFSREKMERG 18 1053 VSMNGSIRNGASFSY 18  400 VGLYVFKVTVSSENA 17  594 DYTFQLKVTDSSRQQ 17  785 VYTFHLRVTDSQGAS 17   69 LAWWFEGRCYLVSCP 16  145 GKDWGLEEMSEYSDD 16  182 YTDWGLLPGSEGAFN 16  214 ELHYLNESASTPAPK 16  378 PTDYQGEIKQGHKQT 16  412 ENAFGEGFVNVTVKP 16  465 IVSYHWEEINGPFIE 16  498 NYSFRLTVTDSDGAT 16  559 IVLYEWSLGPGSEGK 16  581 QTPYLHLSAMQEGDY 16  634 ELIFPVESATLDGSS 16  654 GIVFYHWEHVRGPSA 16  655 IVFYHWEHVRGPSAV 16  688 TYHFRLTVKDQQGLS 16  783 EGVYTFHLRVTDSQG 16  866 VIVFYVQSRPPFKVL 16  867 IVFYVQSRPPFKVLK 16  941 IQRYIWDGESNCEWS 16  954 WSIFYVTVLAFTLIV 16  961 VLAFTLIVLTGGFTW 16  970 TGGFTWLCICCCKRQ 16  972 GFTWLCICCCKRQKR 16 1030 ESEFDSDQDTIFSRE 16 1038 DTIFSREKMERGNPK 16  475 GPFIEEKTSVDSPVL 15  690 HFRLTVKDQQGLSST 15  886 ARNLHMRLSKEKADF 15 1012 KYGIKHRSTEHNSSL 15    4 PTGVLSSLLLLVTIA 14    9 SSLLLLVTIAGCARK 14   10 SLLLLVTIAGCARKQ 14   11 LLLLVTIAGCARKQC 14   14 LVTIAGCARKQCSEG 14   32 SNAVISPNLETTRIM 14   37 SPNLETTRIMRVSHT 14  104 LRPVQRPAQLLDYGD 14  110 PAQLLDYGDMMLNRG 14  111 AQLLDYGDMMLNRGS 14  116 YGDMMLNRGSPSGIW 14  118 DMMLNRGSPSGIWGD 14  134 PEDIRKDLPFLGKDW 14  138 RKDLPFLGKDWGLEE 14  141 LPFLGKDWGLEEMSE 14  185 WGLLPGSEGAFNSSV 14  196 NSSVGDSPAVPAETQ 14  235 LLPLPTTPSSGEVLE 14  265 GKEVLMPSHSLPPAS 14  266 KEVLMPSHSLPPASL 14  267 EVLMPSHSLPPASLE 14  284 SVTVEKSPVLTVTPG 14  318 PSELPISPTTAPRTV 14  320 ELPISPTTAPRTVKE 14  329 PRTVKELTVSAGDNL 14  332 VKELTVSAGDNLIIT 14  342 NLIITLPDNEVELKA 14  344 IITLPDNEVELKAFV 14  351 EVELKAFVAPAPPVE 14  361 APPVETTYNYEWNLI 14  382 QGEIKQGHKQTLNLS 14  392 TLNLSQLSVGLYVFK 14  395 LSQLSVGLYVFKVTV 14  397 QLSVGLYVFKVTVSS 14  401 GLYVFKVTVSSENAF 14  406 KVTVSSENAFGEGFV 14  427 ARRVNLPPVAVVSPQ 14  429 RVNLPPVAVVSPQLQ 14  434 PVAVVSPQLQELTLP 14  450 TSALIDGSQSTDDTE 14  451 SALIDGSQSTDDTEI 14  462 DTEIVSYHWEEINGP 14  463 TEIVSYHWEEINGPF 14  470 WEEINGPFIEEKTSV 14  481 KTSVDSPVLRLSNLD 14  488 VLRLSNLDPGNYSFR 14  502 RLTVTDSDGATNSTT 14  518 ALIVNNAVDYPPVAN 14  522 NNAVDYPPVANAGPN 14  538 TITLPQNSITLNGNQ 14  545 SITLNGNQSSDDHQI 14  573 KHVVMQGVQTPYLHL 14  577 MQGVQTPYLHLSAMQ 14  587 LSAMQEGDYTFQLKV 14  609 STAVVTVIVQPENNR 14  613 VTVIVQPENNRPPVA 14  623 RPPVAVAGPDKELIF 14  625 PVAVAGPDKELIFPV 14  632 DKELIFPVESATLDG 14  641 SATLDGSSSSDDHGI 14  652 DHGIVFYHWEHVRGP 14  660 WEHVRGPSAVEMENI 14  678 IATVTGLQVGTYHFR 14  683 GLQVGTYHFRLTVKD 14  692 RLTVKDQQGLSSTST 14  735 SITLDGSRSTDDQRI 14  747 QRIVSYLWIRDGQSP 14  763 AGDVIDGSDHSVALQ 14  775 ALQLTNLVEGVYTFH 14  803 TATVEVQPDPRKSGL 14  814 KSGLVELTLQVGVGQ 14  817 LVELTLQVGVGQLTE 14  819 ELTLQVGVGQLTEQR 14  821 TLQVGVGQLTEQRKD 14  826 VGQLTEQRKDTLVRQ 14  834 KDTLVRQLAVLLNVL 14  844 LLNVLDSDIKVQKIR 14  851 DIKVQKIRAHSDLST 14  854 VQKIRAHSDLSTVIV 14  863 LSTVIVFYVQSRPPF 14  864 STVIVFYVQSRPPFK 14  876 PFKVLKAAEVARNLH 14  912 GCLLKCSGHGHCDPL 14  928 KRCICSHLWMENLIQ 14  932 CSHLWMENLIQRYIW 14  942 QRYIWDGESNCEWSI 14  953 EWSIFYVTVLAFTLI 14  959 VTVLAFTLIVLTGGF 14  965 TLIVLTGGFTWLCIC 14  966 LIVLTGGFTWLCICC 14  973 FTWLCICCCKRQKRT 14  975 WLCICCCKRQKRTKI 14 1023 NSSLMVSESEFDSDQ 14 1043 REKMERGNPKVSMNG 14 1056 NGSIRNGASFSYCSK 14

TABLE XLVIII-V2 HLA-DR1-0401-15mers-254P1D6B Each peptide is a portion of SEQ ID NO: 5; each start position is specified, the length of peptide is 15 amino acids, and the end position for each peptide is the start position plus fourteen. Pos 123456789012345 score 11 MSEYADDYRELEKDL 22 15 ADDYRELEKDLLQPS 22  4 KDWGLEEMSEYADDY 18  3 GKDWGLEEMSEYADD 16 10 EMSEYADDYRELEKD 12 14 YADDYRELEKDLLQP 12

TABLE XLVIII-V3 HLA-DR1-0401-15mers-254P1D6B Each peptide is a portion of SEQ ID NO: 7; each start position is specified, the length of peptide is 15 amino acids, and the end position for each peptide is the start position plus fourteen. Pos 123456789012345 score 3 RLGWPSPCCARKQCS 16 1 MTRLGWPSPCCARKQ 14 6 WPSPCCARKQCSEGR 12

TABLE XLVIII-V5 HLA-DR1-0401-15mers-254P1D6B Each peptide is a portion of SEQ ID NO: 11; each start position is specified, the length of peptide is 15 amino acids, and the end position for each peptide is the start position plus fourteen. Pos 123456789012345 score  7 PEDIRKDLTFLGKDW 20  3 WGDSPEDIRKDLTFL 18 11 RKDLTFLGKDWGLEE 14 14 LTFLGKDWGLEEMSE 14  4 GDSPEDIRKDLTFLG 12  8 EDIRKDLTFLGKDWG 12

TABLE XLIX-V1 HLA-DRB1-1101-15mers-254P162B Each peptide is a portion of SEQ ID NO: 3; each start position is specified, the length of peptide is 15 amino acids, and the end position for each peptide is the start position plus fourteen. Pos 123456789012345 score  668 AVEMENIDKAIATVT 27   42 TTRIMRVSHTFPVVD 26  138 RKDLPFLGKDWGLEE 26  654 GIVFYHWEHVRGPSA 26  961 VLAFTLIVLTGGFTW 26  157 SDDYRELEKDLLQPS 25  113 LLDYGDMMLNRGSPS 24  369 NYEWNLISHPTDYQG 24   49 SHTFPVVDCTAACCD 23   97 RSYLTFVLRPVQRPA 23  831 EQRKDTLVRQLAVLL 23  900 FLLFKVLRVDTAGCL 23  182 YTDWGLLPGSEGAFN 22  242 PSSGEVLEKEKASQL 22  416 GEGFVNVTVKPARRV 22  524 AVDYPPVANAGPNHT 22  598 QLKVTDSSRQQSTAV 22  657 FYHWEHVRGPSAVEM 22  749 IVSYLWIRDGQSPAA 22  848 LDSDIKVQKIRAHSD 22  131 GDSPEDIRKDLPFLG 21  265 GKEVLMPSHSLPPAS 21  764 GDVIDGSDHSVALQL 21  887 RNLHMRLSKEKADFL 21  899 DFLLFKVLRVDTAGC 21    8 LSSLLLLVTIAGCAR 20  101 TFVLRPVQRPAQLLD 20  115 DYGDMMLNRGSPSGI 20  165 KDLLQPSGKQEPRGS 20  592 EGDYTFQLKVTDSSR 20  688 TYHFRLTVKDQQGLS 20  783 EGVYTFHLRVTDSQG 20  805 TVEVQPDPRKSGLVE 20  865 TVIVFYVQSRPPFKV 20  908 VDTAGCLLKCSGHGH 20 1040 IFSREKMERGNPKVS 20 1052 KVSMNGSIRNGASFS 20  153 MSEYSDDYRELEKDL 19  279 SLELSSVTVEKSPVL 19  704 TSTLTVAVKKENNSP 19  747 QRIVSYLWIRDGQSP 19  814 KSGLVELTLQVGVGQ 19  866 VIVFYVQSRPPFKVL 19   68 DLAWWFEGRCYLVSC 18   99 YLTFVLRPVQRPAQL 18  179 SAEYTDWGLLPGSEG 18  192 EGAFNSSVGDSPAVP 18  212 DPELHYLNESASTPA 18  232 RSVLLPLPTTPSSGE 18  329 PRTVKELTVSAGDNL 18  378 PTDYQGEIKQGHKQT 18  400 VGLYVFKVTVSSENA 18  429 RVNLPPVAVVSPQLQ 18  485 DSPVLRLSNLDPGNY 18  594 DYTFQLKVTDSSRQQ 18  970 TGGFTWLCICCCKRQ 18  992 KTKYTILDNMDEQER 18 1010 RPKYGIKHRSTEHNS 18 1038 DTIFSREKMERGNPK 18   70 AWWFEGRCYLVSCPH 17  365 ETTYNYEWNLISHPT 17  417 EGFVNVTVKPARRVN 17  610 TAVVTVIVQPENNRP 17  655 IVFYHWEHVRGPSAV 17  740 GSRSTDDQRIVSYLW 17  775 ALQLTNLVEGVYTFH 17  874 RPPFKVLKAAEVARN 17  972 GFTWLCICCCKRQKR 17   39 NLETTRIMRVSHTFP 16  214 ELHYLNESASTPAPK 16  367 TYNYEWNLISHPTDY 16  465 IVSYHWEEINGPFIE 16  467 SYHWEEINGPFIEEK 16  481 KTSVDSPVLRLSNLD 16  559 IVLYEWSLGPGSEGK 16  561 LYEWSLGPGSEGKHV 16  578 QGVQTPYLHLSAMQE 16  581 QTPYLHLSAMQEGDY 16  656 VFYHWEHVRGPSAVE 16  712 KKENNSPPRARAGGR 16  751 SYLWIRDGQSPAAGD 16  826 VGQLTEQRKDTLVRQ 16  864 STVIVFYVQSRPPFK 16  882 AAEVARNLHMRLSKE 16  896 EKADFLLFKVLRVDT 16  955 SIFYVTVLAFTLIVL 16  956 IFYVTVLAFTLIVLT 16  983 RQKRTKIRKKTKYTI 16 1008 ELRPKYGIKHRSTEH 16   48 VSHTFPVVDCTAACC 15  100 LTFVLRPVQRPAQLL 15  294 TVTPGSTEHSIPTPP 15  500 SFRLTVTDSDGATNS 15  625 PVAVAGPDKELIFPV 15  873 SRPPFKVLKAAEVAR 15  879 VLKAAEVARNLHMRL 15  920 HGHCDPLTKRCICSH 15  935 LWMENLIQRYIWDGE 15  975 WLCICCCKRQKRTKI 15 1009 LRPKYGIKHRSTEHN 15 1037 QDTIFSREKMERGNP 15   14 LVTIAGCARKQCSEG 14   15 VTIAGCARKQCSEGR 14   21 ARKQCSEGRTYSNAV 14   76 RCYLVSCPHKENCEP 14   77 CYLVSCPHKENCEPK 14   83 PHKENCEPKKMGPIR 14   84 HKENCEPKKMGPIRS 14   87 NCEPKKMGPIRSYLT 14  169 QPSGKQEPRGSAEYT 14  244 SGEVLEKEKASQLQE 14  281 ELSSVTVEKSPVLTV 14  292 VLTVTPGSTEHSIPT 14  351 EVELKAFVAPAPPVE 14  382 QGEIKQGHKQTLNLS 14  398 LSVGLYVFKVTVSSE 14  399 SVGLYVFKVTVSSEN 14  421 NVTVKPARRVNLPPV 14  432 LPPVAVVSPQLQELT 14  446 TLPLTSALIDGSQST 14  482 TSVDSPVLRLSNLDP 14  518 ALIVNNAVDYPPVAN 14  543 QNSITLNGNQSSDDH 14  613 VTVIVQPENNRPPVA 14  678 IATVTGLQVGTYHFR 14  705 STLTVAVKKENNSPP 14  714 ENNSPPRARAGGRHV 14  732 PNNSITLDGSRSTDD 14  823 QVGVGQLTEQRKDTL 14  838 VRQLAVLLNVLDSDI 14  842 AVLLNVLDSDIKVQK 14  845 LNVLDSDIKVQKIRA 14  850 SDIKVQKIRAHSDLS 14  883 AEVARNLHMRLSKEK 14  912 GCLLKCSGHGHCDPL 14  914 LLKCSGHGHCDPLTK 14  986 RTKIRKKTKYTILDN 14  998 LDNMDEQERMELRPK 14 1004 QERMELRPKYGIKHR 14 1014 GIKHRSTEHNSSLMV 14    5 TGVLSSLLLLVTIAG 13    7 VLSSLLLLVTIAGCA 13   10 SLLLLVTIAGCARKQ 13   90 PKKMGPIRSYLTFVL 13   96 IRSYLTFVLRPVQRP 13  114 LDYGDMMLNRGSPSG 13  134 PEDIRKDLPFLGKDW 13  226 APKLPERSVLLPLPT 13  228 KLPERSVLLPLPTTP 13  263 SSGKEVLMPSHSLPP 13  272 SHSLPPASLELSSVT 13  287 VEKSPVLTVTPGSTE 13  337 VSAGDNLIITLPDNE 13  348 PDNEVELKAFVAPAP 13  390 KQTLNLSQLSVGLYV 13  392 TLNLSQLSVGLYVFK 13  401 GLYVFKVTVSSENAF 13  402 LYVFKVTVSSENAFG 13  439 SPQLQELTLPLTSAL 13  497 GNYSFRLTVTDSDGA 13  556 DHQIVLYEWSLGPGS 13  577 MQGVQTPYLHLSAMQ 13  593 GDYTFQLKVTDSSRQ 13  614 TVIVQPENNRPPVAV 13  633 KELIFPVESATLDGS 13  666 PSAVEMENIDKAIAT 13  706 TLTVAVKKENNSPPR 13  725 GRHVLVLPNNSITLD 13  784 GVYTFHLRVTDSQGA 13  787 TFHLRVTDSQGASDT 13  816 GLVELTLQVGVGQLT 13  835 DTLVRQLAVLLNVLD 13  934 HLWMENLIQRYIWDG 13  953 EWSIFYVTVLAFTLI 13  954 WSIFYVTVLAFTLIV 13  960 TVLAFTLIVLTGGFT 13  963 AFTLIVLTGGFTWLC 13 1043 REKMERGNPKVSMNG 13

TABLE XLIX-V2 HLA-DRB1-1101-15mers-254P162B Each peptide is a portion of SEQ ID NO: 5; each start position is specified, the length of peptide is 15 amino acids, and the end position for each peptide is the start position plus fourteen. Pos 123456789012345 score 15 ADDYRELEKDLLQPS 25 11 MSEYADDYRELEKDL 19  5 DWGLEEMSEYADDYR 12

TABLE XLIX-V3 HLA-DRB1-1101-15mers-254P162B Each peptide is a portion of SEQ ID NO: 7; each start position is specified, the length of peptide is 15 amino acids, and the end position for each peptide is the start position plus fourteen. Pos 123456789012345 score 6 WPSPCCARKQCSEGR 14 1 MTRLGWPSPCCARKQ 12 3 RLGWPSPCCARKQCS 12 5 GWPSPCCARKQCSEG  8 8 SPCCARKQCSEGRTY  6

TABLE XLIX-V5 HLA-DRB1-1101-15mers-254P162B Each peptide is a portion of SEQ ID NO: 11; each start position is specified, the length of peptide is 15 amino acids, and the end position for each peptide is the start position plus fourteen. Pos 123456789012345 score 11 RKDLTFLGKDWGLEE 28  4 GDSPEDIRKDLTFLG 15  7 PEDIRKDLTFLGKDW 13

TABLE L Protein Characteristics of 254P1D6B Bioinformatic Program World Wide Web address Outcome ORF ORF finder 3216 bp Protein length 1072 aa Transmembrane TM Pred .ch.embnet.org/ TM Helix AA 954-981 region HMMTop .enzim.hu/hmmtop/ TM Helix AA 956-980 Sosui .genome.ad.jp/SOSui/ TM Helix AA 957-979 TMHMM .cbs.dtu.dk/services/TMHMM TM Helix AA 956-978 Signal Peptide Signal P .cbs.dtu.dk/services/SignalP/ Yes signal peptide pI pI/MW tool .expasy.ch/tools/ pI 5.34 Molecular weight pI/MW tool .expasy.ch/tools/ 1.17   46% Plasma Membrane Localization PSORT psort.nibb.ac.jp/   10% endoplasmic reticulum 33.3% Golgi 33.3% Endoplasmic reticulum 22.2% Plasma Membrane PSORT II psort.nibb.ac.jp/ 11.1% extracellular, including cell wall TYA transposon protein PKD Motifs Blocks .blocks.fhcrc.org/ Purothionin signature Repeats dove.embl-heidelberg.de/ No Repeats

TABLE LI Exon compositions of 254P1D6B Exon No. Start position End position Length 1 1 406 406 2 407 566 160 3 567 1312 746 4 1313 1505 193 5 1506 1604 99 6 1605 1702 98 7 1703 1790 88 8 1791 1883 93 9 1884 2016 133 10 2017 2245 229 11 2246 2369 124 12 2370 2502 133 13 2503 2651 149 14 2652 2803 152 15 2804 2942 139 16 2943 3102 160 17 3103 3245 143 18 3246 3368 123 19 3369 3459 91 20 3460 3551 92 21 3552 6791 3240

TABLE LII Nucleotide sequence of transcript variant 254P1D6B v.3 gctgccgcgg gcggtgggcg gggatccccc gggggtgcaa ccttgctcca cctgtgctgc   60 (SEQ ID NO: 269) cctcggcggg cctggctggc cccgcgcaga gcggcggcgg cgctcgctgt cactgccgga  120 ggtgagagcg cagcagtagc ttcagcctgt cttgggcttg gtccagattc gctcctctgg  180 ggctacgtcc cggggaagag gaagcgagga ttttgctggg gtggggctgt acctcttaac  240 agcaggtgcg cgcgcgaggg tgtgaacgtg tgtgtgtgtg tgtgtctgtg tgtgtgtgtg  300 taagacctgc gatgacgacg aggaggaaca agtgggacgg cgagtgatgc tcagggccag  360 cagcaacgca tggggcgagc ttcagtgtcg ccagcagtga ccacaggtac ggtatctact  420 tcccagagcg cctggccgag aaataggaaa gagggcagcc agtaggcagg ccaataccca  480 acaaaagtag aatcgagacg ccctgagttc agaagttctt gaggccaaat ctggctccta  540 aaaaacatca aaggaagctt gcaccaaact ctcttcaggg ccgcctcaga agcctgccat  600 cacccactgt gtggtgcaca atggcgcccc ccacaggtgt gctctcttca ttgctgctgc  660 tggtgacaat tgcagtttgc ttatggtgga tgcactcatg gcaaaaaaat cactggtgag  720 catcatttaa gaagacccat gactagactg ggctggccga gcccatgttg tgcccgtaag  780 cagtgcagcg aggggaggac atattccaat gcagtcattt cacctaactt ggaaaccacc  840 agaatcatgc gggtgtctca caccttccct gtcgtagact gcacggccgc ttgctgtgac  900 ctgtccagct gtgacctggc ctggtggttc gagggccgct gctacctggt gagctgcccc  960 cacaaagaga actgtgagcc caagaagatg ggccccatca ggtcttatct cacttttgtg 1020 ctccggcctg ttcagaggcc tgcacagctg ctggactatg gggacatgat gctgaacagg 1080 ggctccccct cggggatctg gggggactca cctgaggata tcagaaagga cttgcccttt 1140 ctaggcaaag attggggcct agaggagatg tctgagtact cagatgacta ccgggagctg 1200 gagaaggacc tcttgcaacc cagtggcaag caggagccca gagggagtgc cgagtacacg 1260 gactggggcc tactgccggg cagcgagggg gccttcaact cctctgttgg agacagtcct 1320 gcggtgccag cggagacgca gcaggaccct gagctccatt acctgaatga gtcggcttca 1380 acccctgccc caaaactccc tgagagaagt gtgttgcttc ccttgccgac tactccatct 1440 tcaggagagg tgttggagaa agaaaaggct tctcagctcc aggaacaatc cagcaacagc 1500 tctggaaaag aggttctaat gccttcccat agtcttcctc cggcaagcct ggagctcagc 1560 tcagtcaccg tggagaaaag cccagtgctc acagtcaccc cggggagtac agagcacagc 1620 atcccaacac ctcccactag cgcagccccc tctgagtcca ccccatctga gctacccata 1680 tctcctacca ctgctcccag gacagtgaaa gaacttacgg tatcggctgg agataaccta 1740 attataactt tacccgacaa tgaagttgaa ctgaaggcct ttgttgcgcc agcgccacct 1800 gtagaaacaa cctacaacta tgaatggaat ttaataagcc accccacaga ctaccaaggt 1860 gaaataaaac aaggacacaa gcaaactctt aacctctctc aattgtccgt cggactttat 1920 gtcttcaaag tcactgtttc tagtgaaaac gcctttggag aaggatttgt caatgtcact 1980 gttaagcctg ccagaagagt caacctgcca cctgtagcag ttgtttctcc ccaactgcaa 2040 gagctcactt tgcctttgac gtcagccctc attgatggca gccaaagtac agatgatact 2100 gaaatagtga gttatcattg ggaagaaata aacgggccct tcatagaaga gaagacttca 2160 gttgactctc ccgtcttacg cttgtctaac cttgatcctg gtaactatag tttcaggttg 2220 actgttacag actcggacgg agccactaac tctacaactg cagccctaat agtgaacaat 2280 gctgtggact acccaccagt tgctaatgca ggaccaaatc acaccataac tttgccccaa 2340 aactccatca ctttgaatgg aaaccagagc agtgacgatc accagattgt cctctatgag 2400 tggtccctgg gtcctgggag tgagggcaaa catgtggtca tgcagggagt acagacgcca 2460 taccttcatt tatctgcaat gcaggaagga gattatacat ttcagctgaa ggtgacagat 2520 tcttcaaggc aacagtctac tgctgtggtg actgtgattg tccagcctga aaacaataga 2580 cctccagtgg ctgtggccgg ccctgataaa gagctgatct tcccagtgga aagtgctacc 2640 ctggatggga gcagcagcag cgatgaccac ggcattgtct tctaccactg ggagcacgtc 2700 agaggcccca gtgcagtgga gatggaaaat attgacaaag caatagccac tgtgactggt 2760 ctccaggtgg ggacctacca cttccgtttg acagtgaaag accagcaggg actgagcagc 2820 acgtccaccc tcactgtggc tgtgaagaag gaaaataata gtcctcccag agcccgggct 2880 ggtggcagac atgttcttgt gcttcccaat aattccatta ctttggatgg ttcaaggtct 2940 actgatgacc aaagaattgt gtcctatctg tggatccggg atggccagag tccagcagct 3000 ggagatgtca tcgatggctc tgaccacagt gtggctctgc agcttacgaa tctggtggag 3060 ggggtgtaca ctttccactt gcgagtcacc gacagtcagg gggcctcgga cacagacact 3120 gccactgtgg aagtgcagcc agaccctagg aagagtggcc tggtggagct gaccctgcag 3180 gttggtgttg ggcagctgac agagcagcgg aaggacaccc ttgtgaggca gctggctgtg 3240 ctgctgaacg tgctggactc ggacattaag gtccagaaga ttcgggccca ctcggatctc 3300 agcaccgtga ttgtgtttta tgtacagagc aggccgcctt tcaaggttct caaagctgct 3360 gaagtggccc gaaatctgca catgcggctc tcaaaggaga aggctgactt cttgcttttc 3420 aaggtcttga gggttgatac agcaggttgc cttctgaagt gttctggcca tggtcactgc 3480 gaccccctca caaagcgctg catttgctct cacttatgga tggagaacct tatacagcgt 3540 tatatctggg atggagagag caactgtgag tggagtatat tctatgtgac agtgttggct 3600 tttactctta ttgtgctaac aggaggtttc acttggcttt gcatctgctg ctgcaaaaga 3660 caaaaaagga ctaaaatcag gaaaaaaaca aagtacacca tcctggataa catggatgaa 3720 caggaaagaa tggaactgag gcccaaatat ggtatcaagc accgaagcac agagcacaac 3780 tccagcctga tggtatccga gtctgagttt gacagtgacc aggacacaat cttcagccga 3840 gaaaagatgg agagagggaa tccaaaggtt tccatgaatg gttccatcag aaatggagct 3900 tccttcagtt attgctcaaa ggacagataa tggcgcagtt cattgtaaag tggaaggacc 3960 ccttgaatcc aagaccagtc agtgggagtt acagcacaaa acccactctt ttagaatagt 4020 tcattgacct tcttccccag tgggttagat gtgtatcccc acgtactaaa agaccggttt 4080 ttgaaggcac aaaacaaaaa ctttgctctt ttaactgaga tgcttgttaa tagaaataaa 4140 ggctgggtaa aactctaagg tatatactta aaagagtttt gagtttttgt agctggcaca 4200 atctcatatt aaagatgaac aacgatttct atctgtagaa ccttagagaa ggtgaatgaa 4260 acaaggtttt aaaaagggat gatttctgtc ttagccgctg tgattgcctc taaggaacag 4320 cattctaaac acggtttctc ttgtaggacc tgcagtcaga tggctgtgta tgttaaaata 4380 gcttgtctaa gaggcacggg ccatctgtgg aggtacggag tcttgcatgt agcaagcttt 4440 ctgtgctgac ggcaacactc gcacagtgcc aagccctcct ggtttttaat tctgtgctat 4500 gtcaatggca gttttcatct ctctcaagaa agcagctgtt ggccattcaa gagctaagga 4560 agaatcgtat tctaaggact gaggcaatag aaaggggagg aggagcttaa tgccgtgcag 4620 gttgaaggta gcattgtaac attatctttt ctttctctaa gaaaaactac actgactcct 4680 ctcggtgttg tttagcagta tagttctcta atgtaaacgg atccccagtt tacattaaat 4740 gcaatagaag tgattaattc attaagcatt tattatgttc tgtaggctgt gcgtttggac 4800 tgccatagat agggataacg actcagcaat tgtgtatata ttccaaaact ctgaaataca 4860 gtcagtctta acttggatgg cgtggttatg atactctggt ccccgacagg tactttccaa 4920 aataacttga catagatgta ttcacttcat atgtttaaaa atacatttaa gtttttctac 4980 cgaataaatc ttatttcaaa catgaaagac aattaaaaca ttcccaccca caaagcagta 5040 ctcccgagca attaactgga gttaattgta gcctgctacg ttgactggtt cagggtagtt 5100 ccccatccac ccttggtcct gaggctggtg gccttggtgg tgcccttggc attttttgtg 5160 ggaagattag aatgagagat agaaccagtg ttgtggtacc aagtgtgagc acacctaaac 5220 aatatcctgt tgcacaatgc ttttttaaca catgggaaaa ctaggaatgc attgctgatg 5280 aagaagcaag gtatttaaac accagggcag gagtgccaga gaaaatgttt ccccatgggt 5340 tcttaaaaaa aattcagctt ttaggtgctt ttgtcatctc ccggagtatt catcctcatg 5400 ggaccatctt atttttactt attgtaattt actggggaaa ggcagaacta aaaagtgtgt 5460 cattttattt ttaaaataat tgctttgctt atgcctacac tttctgtata actagccaat 5520 tcaatactgt ctatagtgtt agaaggaaaa tgtgattttt tttttttaac cagtattgag 5580 cttcataagc ctagaatctg ccttatcagg tgaccagggt tatggttgtt tgcatgcaaa 5640 tgtgaatttc tggcataggg gacagcagcc caaatgtaaa gtcatcgggc gtaatgagga 5700 agaagggagt gaacatttac cgctttatgt acataacata tgcagtttac atactcattt 5760 gatccttata atcaaccttg aagaggagat actatcattc ttatgttgca gatagccctc 5820 tgaaggccca gagaggttaa gtaacttccc agaggtcatg gccaagaagt agtggctcca 5880 agaactgaat gcaaattttt taaactgtag agttctgctt tccactaaac aaagaactcc 5940 tgccttgatg gatggagggc aaattctggt ggaacttttg ggccacctga aagttctatt 6000 cccaggacta agaggaattt cttttaatgg atccagagag ccaaggtcag agggagagat 6060 ggcctgcata gtctcctgtg gatcacaccc gggccacccc tccctctagg tttacagtgg 6120 acttcttctg cccctcctcc ttttctgtcc ttggccatct cagcctggcc tctctgatcc 6180 ttccatcaca gaaggatctt gaatctctgg gaaatcaaac atcacagtag tgatcagaaa 6240 gtgagtcctg tcttgtcacc ccatttctca tcagaacaaa gcacgagatg gaatgaccaa 6300 ccagcattct tcatggtgga ctgcttatca ttgaggatct ttgggagata aagcacgcta 6360 agagctctgg acagagaaaa acaggcccta gaatatggga gtgggtgttt gtagggctca 6420 taggctaaca agcactttag ttgctggttt acattcaatg aaggaggatt catacccatg 6480 gcattacaag gctaagcatg tgtatgacta aggaactatc tgaaaaacat gcagcaaggt 6540 aagaaaatgt accactcaac aagccagtga tgccaccttt tgtgcgcggg gaggagagtg 6600 actaccattg ttttttgtgt gacaaagcta tcatggacta ttttaatctt ggttttattg 6660 cttaaaatat attatttttc cctatgtgtt gacaaggtat ttctaatatc acactattaa 6720 atatatgcac taatctaaat aaaggtgtct gtattttctg taatgcttat ttttaggggg 6780 aaatttgttt tctttatgct tcagggtaga gggattccct tgagtatagg tcagcaaact 6840 ctggcctgca gcctgtgtgt gcacgcccca tgagccgaaa agtgggtctt atgttttcaa 6900 atggttaaaa ataaataaaa aaatttgaaa catgtgaact atatgacatt cagatttgtg 6960 ttcataaata aagttttatt ggaacatatc c 6991

TABLE LIII Nucleotide sequence alignment of 254P1D6B v.1 (SEQ ID NO: 270) and 254P1D6B v.3 (SEQ ID NO: 271) Score = 781 bits (406), Expect = 0.0Identities = 406/406 (100%) Strand = Plus/Plus

Score = 314 bits (163), Expect = 2e − 81Identities = 165/166 (99%) Strand = Plus/Plus

Score = 1.197e + 04 bits (6225), Expect = 0.0Identities = 6225/6225 (100%) Strand = Plus/Plus

TABLE LIV Peptide sequences of protein coded by 254P1D6B v.3 MTRLGWPSPC CARKQCSEGR TYSNAVISPN LETTRIMRVS HTFPVVDCTA ACCDLSSCDL   60 (SEQ ID NO: 272) AWWFEGRCYL VSCPHKENCE PKKMGPIRSY LTFVLRPVQR PAQLLDYGDM MLNRGSPSGI  120 WGDSPEDIRK DLPFLGKDWG LEEMSEYSDD YRELEKDLLQ PSGKQEPRGS AEYTDWGLLP  180 GSEGAFNSSV GDSPAVPAET QQDPELHYLN ESASTPAPKL PERSVLLPLP TTPSSGEVLE  240 KEKASQLQEQ SSNSSGKEVL MPSHSLPPAS LELSSVTVEK SPVLTVTPGS TEHSIPTPPT  300 SAAPSESTPS ELPISPTTAP RTVKELTVSA GDNLIITLPD NEVELKAFVA PAPPVETTYN  360 YEWNLISHPT DYQGEIKQGH KQTLNLSQLS VGLYVFKVTV SSENAFGEGF VNVTVKPARR  420 VNLPPVAVVS PQLQELTLPL TSALIDGSQS TDDTEIVSYH WEEINGPFIE EKTSVDSPVL  480 RLSNDLPGNY SFRLTVTDSD GATNSTTAAL IVNNAVDYPP VANAGPNHTI TLPQNSITLN  540 GNQSSDDHQI VLYEWSLGPG SEGKHVVMQG VQTPYLHLSA MQEGDYTFQL KVTDSSRQQS  600 TAVVTVIVQP ENNRPPVAVA GPDKELIFPV ESATLDGSSS SDDHGIVFYH WEHVRGPSAV  660 EMENIDKAIA TVTGLQVGTY HFRLTVKDQQ GLSSTSTLTV AVKKENNSPP RARAGGRHVL  720 VLPNNSITLD GSRSTDDQRI VSYLWIRDGQ SPAAGDVIDG SDHSVALQLT NLVEGVYTFH  780 LRVTDSQGAS DTDTATVEVQ PDPRKSGLVE LTLQVGVGQL TEQRKDTLVR QLAVLLNVLD  840 SDIKVQKIRA HSDLSTVIVF YVQSRPPFKV LKAAEVARNL HMRLSKEKAD FLLFKVLRVD  900 TAGCLLKCSG HGHCDPLTKR CICSHLWMEN LIQRYIWDGE SNCEWSIFYV TVLAFTLIVL  960 TGGFTWLCIC CCKRQKRTKI RKKTKYTILD NMDEQERMEL RPKYGIKHRS TEHNSSLMVS 1020 ESEFDSDQDT IFSREKMERG NPKVSMNGSI RNGASFSYCS KDR 1063

TABLE LV Amino acid sequence alignment of 254P1D6B v.1 (SEQ ID NO: 273) and 254P1D6B v.3 (SEQ ID NO: 274) Score = 2124 bits (5503), Expect = 0.0 Identities = 1053/1053 (100%), Positives = 1053/1053 (100%) V.1:   20 CARKQCSEGRTYSNAVISPNLETTRIMRVSHTFPVVDCTAACCDLSSCDLAWWFEGRCYL   79 CARKQCSEGRTYSNAVISPNLETTRIMRVSHTFPVVDCTAACCDLSSCDLAWWFEGRCYL V.3:   11 CARKQCSEGRTYSNAVISPNLETTRIMRVSHTFPVVDCTAACCDLSSCDLAWWFEGRCYL   70 V.1:   80 VSCPHKENCEPKKMGPIRSYLTFVLRPVQRPAQLLDYGDMMLNRGSPSGIWGDSPEDIRK  139 VSCPHKENCEPKKMGPIRSYLTFVLRPVQRPAQLLDYGDMMLNRGSPSGIWGDSPEDIRK V.3:   71 VSCPHKENCEPKKMGPIRSYLTFVLRPVQRPAQLLDYGDMMLNRGSPSGIWGDSPEDTRK  130 V.1:  140 DLPFLGKDWGLEEMSEYSDDYRELEKDLLQPSGKQEPRGSAEYTDWGLLPGSEGAFNSSV  199 DLPFLGKDWGLEEMSEYSDDYRELEKDLLQPSGKQEPRGSAEYTDWGLLPGSEGAFNSSV V.3:  131 DLPFLGKDWGLEEMSEYSDDYRELEKDLLQPSGKQEPRGSAEYTDWGLLPGSEGAFNSSV  190 V.1:  200 GDSPAVPAETQQDPELHYLNESASTPAPKLPERSVLLPLPTTPSSGEVLEKEKASQLQEQ  259 GDSPAVPAETQQDPELHYLNESASTPAPKLPERSVLLPLPTTPSSGEVLEKEKASQLQEQ V.3:  191 GDSPAVPAETQQDPELHYLNESASTPAPKLPERSVLLPLPTTPSSGEVLEKEKASQLQEQ  250 V.1:  260 SSNSSGKEVLMPSHSLPPASLELSSVTVEKSPVLTVTPGSTEHSIPTPPTSAAPSESTPS  319 SSNSSGKEVLMPSHSLPPASLELSSVTVEKSPVLTVTPGSTEHSIPTPPTSAAPSESTPS V.3:  251 SSNSSGKEVLMPSHSLPPASLELSSVTVEKSPVLTVTPGSTEHSIPTPPTSAAPSESTPS  310 V.1:  320 ELPISPTTAPRTVKELTVSAGDNLIITLPDNEVELKAFVAPAPPVETTYNYEWNLISHPT  379 ELPISPTTAPRTVKELTVSAGDNLIITLPDNEVELKAFVAPAPPVETTYNYEWNLISHPT V.3:  311 ELPISPTTAPRTVKELTVSAGDNLIITLPDNEVELKAFVAPAPPVETTYNYEWNLISHPT  370 V.1:  380 DYQGEIKQGHKQTLNLSQLSVGLYVFKVTVSSENAFGEGFVNVTVKPARRVNLPPVAVVS  439 DYQGEIKQGHKQTLNLSQLSVGLYVFKVTVSSENAFGEGFVNVTVKPARRVNLPPVAVVS V.3:  371 DYQGEIKQGHKQTLNLSQLSVGLYVFKVTVSSENAFGEGFVNVTVKPARRVNLPPVAVVS  430 V.1:  440 PQLQELTLPLTSALIDGSQSTDDTEIVSYHWEEINGPFIEEKTSVDSPVLRLSNLDPGNY  499 PQLQELTLPLTSALIDGSQSTDDTEIVSYHWEEINGPFIEEKTSVDSPVLRLSNLDPGNY V.3:  431 PQLQELTLPLTSALIDGSQSTDDTEIVSYHWEEINGPFIEEKTSVDSPVLRLSNLDPGNY  490 V.1:  500 SFRLTVTDSDGATNSTTAALIVNNAVDYPPVANAGPNHTITLPQNSITLNGNQSSDDHQI  559 SFRLTVTDSDGATNSTTAALIVNNAVDYPPVANAGPNHTITLPQNSITLNGNQSSDDHQI V.3:  491 SFRLTVTDSDGATNSTTAALIVNNAVDYPPVANAGPNHTITLPQNSITLNGNQSSDDHQI  550 V.1:  560 VLYEWSLGPGSEGKHVVMQGVQTPYLHLSAMQEGDYTFQLKVTDSSRQQSTAVVTVIVQP  619 VLYEWSLGPGSEGKHVVMQGVQTPYLHLSAMQEGDYTFQLKVTDSSRQQSTAVVTVIVQP V.3:  551 VLYEWSLGPGSEGKHVVMQGVQTPYLHLSAMQEGDYTFQLKVTDSSRQQSTAVVTVIVQP  610 V.1:  620 ENNRPPVAVAGPDKELIFPVESATLDGSSSSDDHGIVFYHWEHVRGPSAVEMENIDKAIA  679 ENNRPPVAVAGPDKELIFPVESATLDGSSSSDDHGIVFYHWEHVRGPSAVEMENIDKAIA V.3:  611 ENNRPPVAVAGPDKELIFPVESATLDGSSSSDDHGIVFYHWEHVRGPSAVEMENIDKAIA  670 V.1:  680 TVTGLQVGTYHFRLTVKDQQGLSSTSTLTVAVKKENNSPPRARAGGRHVLVLPNNSITLD  739 TVTGLQVGTYHFRLTVKDQQGLSSTSTLTVAVKKENNSPPRARAGGRHVLVLPNNSITLD V.3:  671 TVTGLQVGTYHFRLTVKDQQGLSSTSTLTVAVKKENNSPPRARAGGRHVLVLPNNSITLD  730 V.1:  740 GSRSTDDQRIVSYLWIRDGQSPAAGDVIDGSDHSVALQLTNLVEGVYTFHLRVTDSQGAS  799 GSRSTDDQRIVSYLWIRDGQSPAAGDVIDGSDHSVALQLTNLVEGVYTFHLRVTDSQGAS V.3:  731 GSRSTDDQRIVSYLWIRDGQSPAAGDVIDGSDHSVALQLTNLVEGVYTFHLRVTDSQGAS  790 V.1:  800 DTDTATVEVQPDPRKSGLVELTLQVGVGQLTEQRKDTLVRQLAVLLNVLDSDIKVQKIRA  859 DTDTATVEVQPDPRKSGLVELTLQVGVGQLTEQRKDTLVRQLAVLLNVLDSDIKVQKIRA V.3:  791 DTDTATVEVQPDPRKSGLVELTLQVGVGQLTEQRKDTLVRQLAVLLNVLDSDIKVQKIRA  850 V.1:  860 HSDLSTVIVFYVQSRPPFKVLKAAEVARNLHMRLSKEKADFLLFKVLRVDTAGCLLKCSG  919 HSDLSTVIVFYVQSRPPFKVLKAAEVARNLHMRLSKEKADFLLFKVLRVDTAGCLLKCSG V.3:  851 HSDLSTVIVFYVQSRPPFKVLKAAEVARNLHMRLSKEKADFLLFKVLRVDTAGCLLKCSG  910 V.1:  920 HGHCDPLTKRCICSHLWMENLIQRYIWDGESNCEWSIFYVTVLAFTLIVLTGGFTWLCIC  979 HGHCDPLTKRCICSHLWMENLIQRYIWDGESNCEWSIFYVTVLAFTLIVLTGGFTWLCIC V.3:  911 HGHCDPLTKRCICSHLWMENLIQRYIWDGESNCEWSIFYVTVLAFTLIVLTGGFTWLCIC  970 V.1:  980 CCKRQKRTKIRKKTKYTTLDNMDEQERMELRPKYGIKHRSTEHNSSLMVSESEFDSDQDT 1039 CCKRQKRTKIRKKTKYTILDNMDEQERMELRPKYGIKHRSTEHNSSLMVSESEFDSDQDT V.3:  971 CCKRQKRTKIRKKTKYTILDNMDEQERMELRPKYGIKHRSTEHNSSLMVSESEFDSDQDT 1030 V.1: 1040 IFSREKMERGNPKVSMNGSIRNGASFSYCSKDR 1072 IFSREKMERGNPKVSMNGSIRNGASFSYCSKDR V.3: 1031 IFSREKMERGNPKVSMNGSIRNGASFSYCSKDR 1063 

The invention claimed is:
 1. A method for detecting the presence of a protein comprising SEQ ID NO:3 or SEQ ID NO:5 in a sample comprising: contacting a sample with an antibody or fragment thereof that specifically binds to SEQ ID NO:3 or SEQ ID NO:5; determining the presence of the protein in the sample by detecting a complex between the antibody or fragment thereof and the protein; wherein the sample is selected from the group consisting of lung, ovary, prostate, pancreas and breast tissue.
 2. The method of claim 1, wherein the sample is from a patient who has or who is suspected of having cancer. 